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General NPI Number Information
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NPI Number | 1912132515
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Entity Type | Individual
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Provider Name | VIRGINIA WEBER WOLF RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 407 N HERMAN ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3816
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Country | US
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Telephone | 919-583-9788
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Fax | 919-583-9790
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Provider Business Mailing Address
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Address Line | 407 N HERMAN ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3816
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Country | US
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Telephone | 919-583-9788
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Fax | 919-583-9790
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L001300
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | L001300
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License Number State | NC
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