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General NPI Number Information
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NPI Number | 1518273853
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Entity Type | Individual
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Provider Name | STEVEN WOLFINGTON DMD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 9800 N LAKE CREEK PKWY STE 150
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City | AUSTIN
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State | TX
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Zip | 78717-6069
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Country | US
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Telephone | 512-883-8450
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Fax |
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Provider Business Mailing Address
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Address Line | 9800 N LAKE CREEK PKWY STE 150
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City | AUSTIN
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State | TX
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Zip | 78717-6069
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Country | US
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Telephone | 512-883-8450
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35067
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License Number State | TX
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