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General NPI Number Information
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NPI Number | 1063326528
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Entity Type | Individual
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Provider Name | CHINA WOODARD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 4201 INTERWAY PL
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City | ARLINGTON
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State | TX
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Zip | 76018-5668
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Country | US
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Telephone | 817-438-6776
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Fax |
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Provider Business Mailing Address
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Address Line | 411 BANDERA DR
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City | TYLER
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State | TX
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Zip | 75702-4804
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Country | US
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Telephone | 832-537-2899
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1194397
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License Number State | TX
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