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General NPI Number Information
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NPI Number | 1629170378
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Entity Type | Individual
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Provider Name | SHARON WOLFF O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 4000 CENTRAL AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2968
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Country | US
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Telephone | 763-788-9147
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Fax | 763-782-8154
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Provider Business Mailing Address
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Address Line | 4000 CENTRAL AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2968
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Country | US
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Telephone | 763-788-9147
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Fax | 763-782-8154
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | MN2609
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 556
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License Number State | ND
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