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General NPI Number Information
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NPI Number | 1063302784
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Entity Type | Individual
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Provider Name | MARCUS WOODS
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Gender | Male
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 2 HAMILL RD STE 225
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City | BALTIMORE
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State | MD
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Zip | 21210-1815
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Country | US
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Telephone | 443-360-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 6632 RIDGEBORNE DR
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City | BALTIMORE
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State | MD
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Zip | 21237-3871
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Country | US
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Telephone | 443-760-2412
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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