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General NPI Number Information
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NPI Number | 1881107332
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Entity Type | Organization
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Legal Business Name | MARISA WOLFF DO PLLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 18 CONGRESS ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-4171
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Country | US
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Telephone | 518-350-4694
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Fax | 518-309-6563
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Provider Business Mailing Address
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Address Line | 18 CONGRESS ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-4171
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Country | US
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Telephone | 518-350-4694
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Fax | 518-350-6563
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Authorized Official
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Title or Position | SOLE MEMEBER
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Name | MARISA WOLFF
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Credential | DO
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Telephone | 518-350-4694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 271334
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License Number State | NY
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