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General NPI Number Information
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NPI Number | 1568637387
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Entity Type | Individual
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Provider Name | JOSHUA H WOLF
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Gender | Male
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 2435 W BELVEDERE AVE STE 42
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City | BALTIMORE
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State | MD
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Zip | 21215-5224
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Country | US
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Telephone | 410-601-0601
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Fax | 410-601-5835
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Provider Business Mailing Address
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Address Line | 2950 CLEVELAND CLINIC BLVD
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City | WESTON
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State | FL
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Zip | 33331-3609
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Country | US
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Telephone | 954-659-5000
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 3719
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | ME122929
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | D83870
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License Number State | MD
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