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General NPI Number Information
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NPI Number | 1871719864
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Entity Type | Individual
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Provider Name | JEFFREY B. WOLFE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 103 N MEADOWS DR SUITE 210
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City | WEXFORD
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State | PA
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Zip | 15090-8369
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Country | US
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Telephone | 724-935-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 5548 GRUBBS RD
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City | GIBSONIA
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State | PA
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Zip | 15044-9769
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Country | US
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Telephone | 724-444-8490
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS002648L
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License Number State | PA
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