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NPI Code Detail

MEDICARE: MR. ARNOLD F WOODRUFF M.S.

MEDICARE: MR. ARNOLD F WOODRUFF M.S.
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
1106H00000XMarriage & Family Therapist0717000084VA

General Provider Information

NPI Number : 1134360415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARNOLD F WOODRUFF M.S.
Provider Business Mailing Address
First Line : 4805 RODNEY RD
Second Line :
City : RICHMOND
State : VA
Zip : 23230-2508
Country : US
Telephone Number : 804-358-4249
Fax Number : 804-819-4263
Provider Business Practice Location Address
First Line : 4805 RODNEY RD
Second Line :
City : RICHMOND
State : VA
Zip : 23230-2508
Country : US
Telephone Number : 804-358-4249
Fax Number : 804-819-4263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/16/2009

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