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NPI Code Detail

MEDICARE: EMILY WOOLF

MEDICARE: EMILY WOOLF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295549186
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WOOLF
Provider Business Mailing Address
First Line : 12557 RAVENWOOD DR
Second Line :
City : CHARDON
State : OH
Zip : 44024-9009
Country : US
Telephone Number : 440-285-3568
Fax Number :
Provider Business Practice Location Address
First Line : 12557 RAVENWOOD DR
Second Line :
City : CHARDON
State : OH
Zip : 44024-9009
Country : US
Telephone Number : 440-285-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 01/28/2026

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Directions to “ EMILY WOOLF ” Practice Location

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