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General NPI Number Information
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NPI Number | 1053418905
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Entity Type | Individual
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Provider Name | DORIS ANN WOODRUFF DDS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1405 W FRANKFORD RD SUITE 112
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City | CARROLLTON
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State | TX
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Zip | 75007-4945
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Country | US
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Telephone | 972-466-1884
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Fax | 972-242-7255
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Provider Business Mailing Address
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Address Line | 1405 W FRANKFORD RD SUITE 112
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City | CARROLLTON
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State | TX
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Zip | 75007-4945
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Country | US
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Telephone | 972-466-1884
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Fax | 972-242-7255
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12259
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License Number State | TX
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