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General NPI Number Information
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NPI Number | 1770874737
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Entity Type | Organization
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Legal Business Name | S. ANTHONY WOLFE, M.D., P.A.
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE SUITE 2230
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-662-4111
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Fax | 305-662-5800
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Provider Business Mailing Address
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Address Line | PO BOX 558267
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City | MIAMI
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State | FL
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Zip | 33255-8267
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Country | US
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Telephone | 305-662-4111
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Fax | 305-662-5800
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | S ANTHONY WOLFE
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Credential | M.D.
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Telephone | 305-662-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME18683
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License Number State | FL
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