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General NPI Number Information
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NPI Number | 1770902769
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Entity Type | Individual
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Provider Name | SEBASTIAN WOLF DPT
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 8585 SW HIGHWAY 200 UNIT 8
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City | OCALA
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State | FL
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Zip | 34481-9644
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Country | US
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Telephone | 352-693-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 13238 SW 29TH CIR
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City | OCALA
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State | FL
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Zip | 34473-9017
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29007
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License Number State | FL
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