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General NPI Number Information
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NPI Number | 1114196391
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Entity Type | Organization
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Legal Business Name | BARBARA L ATWOOD MD LLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 953 STEVENS DR SUITE B
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City | RICHLAND
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State | WA
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Zip | 99352-3533
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Country | US
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Telephone | 509-946-0802
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Fax | 509-946-0104
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Provider Business Mailing Address
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Address Line | 953 STEVENS DR SUITE B
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City | RICHLAND
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State | WA
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Zip | 99352-3533
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Country | US
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Telephone | 509-946-0802
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Fax | 509-946-0104
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | BARBARA L ATWOOD
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Credential | MD
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Telephone | 509-946-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 602397859
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License Number State | WA
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