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General NPI Number Information
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NPI Number | 1679674774
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Entity Type | Organization
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Legal Business Name | LAURENE A. WOLF, DMD, MSD, LLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 205 TOWNE CENTRE DR.
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 908-431-0888
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Fax | 908-431-0771
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Provider Business Mailing Address
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Address Line | 205 TOWNE CENTRE DR.
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 908-431-0888
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Fax | 908-431-0771
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | LAURENE WOLF
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Credential | DMD, MSD
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Telephone | 908-931-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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