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General NPI Number Information
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NPI Number | 1720805211
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Entity Type | Organization
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Legal Business Name | DAX WOLFORD MD PLLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 8905 W POST RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-2429
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Country | US
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Telephone | 702-550-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 8905 W POST RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-2429
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Country | US
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Telephone | 702-490-9449
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAX PATRICK WOLFORD
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Credential | MD
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Telephone | 702-550-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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