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General NPI Number Information
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NPI Number | 1629858675
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Entity Type | Individual
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Provider Name | ELIZABETH WOLFE PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 100 N TAMPA ST
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City | TAMPA
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State | FL
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Zip | 33602-5842
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Country | US
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Telephone | 954-228-5845
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Fax |
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Provider Business Mailing Address
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Address Line | 447 CORTE MADERA LN UNIT 3
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-8342
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12054
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 12054
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License Number State | FL
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