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General NPI Number Information
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NPI Number | 1124694450
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Entity Type | Organization
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Legal Business Name | RYAN WOOD OD PLLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 16901 CHENAL PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72223
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Country | US
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Telephone | 501-295-4011
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Fax | 501-295-4003
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Provider Business Mailing Address
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Address Line | 815 TECHNOLOGY DR UNIT 241460
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City | LITTLE ROCK
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State | AR
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Zip | 72223-6084
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Country | US
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Telephone | 501-295-4011
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Fax | 501-295-4003
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM RYAN WOOD
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Credential | OD
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Telephone | 870-588-6635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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