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General NPI Number Information
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NPI Number | 1588729214
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Entity Type | Organization
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Legal Business Name | ALLAN WOLPE MD INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 TERRACINA BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-4850
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Country | US
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Telephone | 909-335-6443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 295
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City | REDLANDS
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State | CA
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Zip | 92373-0101
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Country | US
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Telephone | 909-335-6443
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN WOLPE
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Credential | M.D.
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Telephone | 909-335-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | G45800
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License Number State | CA
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