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General NPI Number Information
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NPI Number | 1629178470
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Entity Type | Organization
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Legal Business Name | ROBERT N WOLFE MD AND ANDREW S WACHTEL MD A PARTNER OF PROF
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST SUITE 965W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6106
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Country | US
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Telephone | 310-657-3792
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Fax | 310-657-3799
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST SUITE 965W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6106
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Country | US
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Telephone | 310-657-3792
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Fax | 310-657-3799
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Authorized Official
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Title or Position | MD PARTNER
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Name | ROBERT NORTON WOLFE
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Credential | MD
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Telephone | 310-657-3792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G32286
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License Number State | CA
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