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General NPI Number Information
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NPI Number | 1487623401
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Entity Type | Individual
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Provider Name | JOSEPH E WOLF D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 4415 S HARVARD AVE STE 125
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City | TULSA
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State | OK
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Zip | 74135-9700
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Country | US
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Telephone | 918-748-8111
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Fax | 918-744-5284
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Provider Business Mailing Address
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Address Line | 2401 SOUTHWEST BLVD
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City | TULSA
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State | OK
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Zip | 74107-2726
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Country | US
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Telephone | 918-561-5701
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Fax | 918-561-1173
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1308
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License Number State | OK
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