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General NPI Number Information
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NPI Number | 1053034918
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Entity Type | Individual
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Provider Name | CHERYL W WOOD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 6720 BASS PRO DR
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City | BOSTON HEIGHTS
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State | OH
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Zip | 44236-1198
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Country | US
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Telephone | 330-341-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 3397 PRESTWYCK LN
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City | RICHFIELD
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State | OH
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Zip | 44286-9065
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Country | US
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Telephone | 440-823-2825
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03312051
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License Number State | OH
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