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General NPI Number Information
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NPI Number | 1659579829
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Entity Type | Individual
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Provider Name | MARILYN W WOOLFOLK DDS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 1011 N UNIVERSITY AVE
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City | ANN ARBOR
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State | MI
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Zip | 48109-1078
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Country | US
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Telephone | 734-763-3313
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Fax | 734-647-6805
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Provider Business Mailing Address
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Address Line | 1011 N UNIVERSITY AVE
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City | ANN ARBOR
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State | MI
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Zip | 48109-1078
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Country | US
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Telephone | 734-763-3313
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Fax | 734-647-6805
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901011881
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901011881
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License Number State | MI
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