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General NPI Number Information
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NPI Number | 1669689691
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Entity Type | Organization
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Legal Business Name | DON R WOLFF MD INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 2021 YGNACIO VALLEY RD STE C102
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3382
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Country | US
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Telephone | 925-256-8464
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Fax | 925-256-8320
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Provider Business Mailing Address
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Address Line | 1867 YGNACIO VALLEY RD # 383
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3214
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Country | US
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Telephone | 925-256-8464
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Fax | 925-256-8320
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Authorized Official
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Title or Position | PRESIDENT
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Name | DON R WOLFF
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Credential | MD
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Telephone | 925-256-8464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A789840
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License Number State | CA
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