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General NPI Number Information
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NPI Number | 1770257610
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Entity Type | Individual
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Provider Name | DAVID BRUCE WOLFE LICSW
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 1231 116TH AVE NE STE 410
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City | BELLEVUE
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State | WA
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Zip | 98004-3804
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Country | US
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Telephone | 424-918-8241
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Fax |
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Provider Business Mailing Address
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Address Line | 15425 9TH PL W
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City | LYNNWOOD
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State | WA
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Zip | 98087-2650
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Country | US
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Telephone | 206-372-0510
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00005849
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License Number State | WA
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