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General NPI Number Information
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NPI Number | 1124832001
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Entity Type | Organization
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Legal Business Name | DEIDRA WOODS MD LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE STE 1400
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4302
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Country | US
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Telephone | 202-615-3280
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Fax |
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Provider Business Mailing Address
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Address Line | 5709 HARWICK RD
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City | BETHESDA
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State | MD
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Zip | 20816-2049
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Country | US
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Telephone | 202-615-3280
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Fax |
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Authorized Official
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Title or Position | ADVISOR
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Name | THOMAS WOODS
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Credential |
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Telephone | 202-615-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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