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NPI 1770505232

NPI 1770505232 : MARCI KAREN WOLFE OD : MARLTON, NJ

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General NPI Number Information
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    NPI Number           |    1770505232
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    Entity Type          |    Individual 
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    Provider Name        |    MARCI KAREN WOLFE OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2006
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    Last Update Date     |    01/11/2008
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Provider Practice Location Address
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    Address Line         |    65 PLAZA 70 EAST 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053
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    Country              |    US
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    Telephone            |    856-596-4416
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    Fax                  |    856-596-6566
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Provider Business Mailing Address
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    Address Line         |    65 PLAZA 70 EAST 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053
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    Country              |    US
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    Telephone            |    856-596-4416
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    Fax                  |    856-596-6566
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    NJOAO4329
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    License Number State |    NJ
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