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General NPI Number Information
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NPI Number | 1821466905
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Entity Type | Individual
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Provider Name | ANNA WOOLFOLK P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 600 COMMUNITY DR SUITE 304
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City | MANHASSET
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State | NY
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Zip | 11030-3802
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Country | US
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Telephone | 516-823-8821
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Fax | 718-830-1997
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Provider Business Mailing Address
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Address Line | 50 LINCOLN RD APT. 3F
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City | BROOKLYN
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State | NY
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Zip | 11225-3751
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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