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General NPI Number Information
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NPI Number | 1538081526
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Entity Type | Individual
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Provider Name | DINEEN HELEN WOLFERSHEIM
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 3075 CALDER DR
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-1650
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Country | US
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Telephone | 904-788-9792
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Fax |
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Provider Business Mailing Address
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Address Line | 3075 CALDER DR
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-1650
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Country | US
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Telephone | 904-788-9792
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | OD8230
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License Number State | FL
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