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General NPI Number Information
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NPI Number | 1487578456
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Entity Type | Individual
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Provider Name | TAMRA LYNN WOLBERT
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Gender | Female
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 82 BUCK RD STE 3
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City | HOLLAND
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State | PA
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Zip | 18966-1751
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Country | US
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Telephone | 267-270-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 55 NORRISTOWN RD APT 6
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City | WARMINSTER
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State | PA
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Zip | 18974-4072
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Country | US
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Telephone | 267-270-5527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW138519
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License Number State | PA
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