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General NPI Number Information
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NPI Number | 1073677803
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Entity Type | Individual
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Provider Name | STEVEN HEATH WOODWORTH MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 205 OSCEOLA ST
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City | LAURIUM
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State | MI
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Zip | 49913-2134
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Country | US
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Telephone | 906-337-6591
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Fax | 906-337-6597
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Provider Business Mailing Address
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Address Line | 205 OSCEOLA ST
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City | LAURIUM
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State | MI
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Zip | 49913-2134
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Country | US
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Telephone | 906-337-6591
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Fax | 906-337-6597
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 4301045420
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License Number State | MI
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