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General NPI Number Information
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NPI Number | 1821123001
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Entity Type | Organization
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Legal Business Name | R DANIEL WOLFE DCPA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1169 HIGHWAY 70 E
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City | DE QUEEN
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State | AR
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Zip | 71832-8008
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Country | US
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Telephone | 870-642-4050
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Fax | 870-642-4059
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Provider Business Mailing Address
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Address Line | 1169 HWY 70 71 E
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City | DE QUEEN
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State | AR
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Zip | 71832
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Country | US
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Telephone | 870-642-4050
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Fax | 870-642-4059
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD D WOLFE
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Credential | DC
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Telephone | 870-642-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1254
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License Number State | AR
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