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NPI 1790714830

NPI 1790714830 : SCOTT W. WOLFE : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1790714830
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCOTT W. WOLFE 
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Dates
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    Enumeration Date     |    07/01/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    523 E 72ND ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4099
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    Country              |    US
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    Telephone            |    212-606-1529
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    535 E 70TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4872
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    Country              |    US
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    Telephone            |    212-606-1529
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SCOTT W WOLFE 
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    Credential           |    MD
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    Telephone            |    212-606-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    1629651
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    License Number State |    NY
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