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General NPI Number Information
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NPI Number | 1083616338
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Entity Type | Individual
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Provider Name | DAVID A WOOG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 4200 BECKNER RD
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City | SANTA FE
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State | NM
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Zip | 87507-3774
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Country | US
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Telephone | 505-477-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 HOSPITAL DR SUITE 110
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City | SANTA FE
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State | NM
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Zip | 87505-4728
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Country | US
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Telephone | 505-982-7246
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Fax | 505-983-4812
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 93-434
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 157943
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License Number State | NY
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