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General NPI Number Information
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NPI Number | 1013133743
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Entity Type | Organization
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Legal Business Name | ROBERT L WOODS MD INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 20482 SUN VALLEY DR
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-1165
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Country | US
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Telephone | 714-547-4332
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Fax | 714-547-4313
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Provider Business Mailing Address
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Address Line | PO BOX 4892
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City | LAGUNA BEACH
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State | CA
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Zip | 92652-4892
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Country | US
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Telephone | 714-547-4332
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Fax | 714-547-4313
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT LEE WOODS
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Credential | M.D.
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Telephone | 714-547-4332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G75218
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License Number State | CA
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