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General NPI Number Information
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NPI Number | 1629584610
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH WOLFF PA-C
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Gender |
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | PO BOX 269
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City | ANIAK
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State | AK
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Zip | 99557-0269
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Country | US
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Telephone | 907-675-4556
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 269
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City | ANIAK
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State | AK
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Zip | 99557-0269
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 194408
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License Number State | AK
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