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General NPI Number Information
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NPI Number | 1982921706
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Entity Type | Individual
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Provider Name | MICHAEL E WOLF MD, MS
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 440 N BARRANCA AVE # 2483
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 213-375-8665
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Fax |
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 2483
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 213-375-8665
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 66017
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | A118523
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | A118523
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A118523
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P17809
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | A118523
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License Number State | CA
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