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General NPI Number Information
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NPI Number | 1003225632
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Entity Type | Individual
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Provider Name | ANNALEA K WOOD DC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1007 N LAMAR BLVD STE 2
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City | OXFORD
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State | MS
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Zip | 38655-2864
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Country | US
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Telephone | 662-638-3184
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 N LAMAR BLVD STE 2
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City | OXFORD
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State | MS
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Zip | 38655-2864
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Country | US
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Telephone | 662-638-3184
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1270
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License Number State | MS
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