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General NPI Number Information
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NPI Number | 1861723330
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Entity Type | Individual
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Provider Name | BRENDA S. WOLF FNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2010
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | BEMIDJI VA CLINIC 1217 ANNE ST. NW
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City | BEMIDJI
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State | MN
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Zip | 56601-5113
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Country | US
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Telephone | 218-755-6360
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Fax | 218-557-6399
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Provider Business Mailing Address
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Address Line | 1217 ANNE ST NW
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City | BEMIDJI
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State | MN
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Zip | 56601-5113
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Country | US
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Telephone | 218-556-7360
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Fax | 218-755-6399
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R 156527-2
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License Number State | MN
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