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General NPI Number Information
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NPI Number | 1124059068
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Entity Type | Organization
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Legal Business Name | RICHARD M. WOOD, MD, P.C.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 555 UNION ST
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City | HUDSON
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State | NY
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Zip | 12534-2815
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Country | US
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Telephone | 518-821-5484
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Fax | 518-546-3403
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Provider Business Mailing Address
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Address Line | 2 PROSPECT HILL RD
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City | CLINTON CORNERS
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State | NY
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Zip | 12514-2449
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Country | US
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Telephone | 518-821-5484
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Fax | 845-546-3403
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. RICHARD M WOOD
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Credential | M.D.
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Telephone | 518-821-5484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2210941
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License Number State | NY
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