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General NPI Number Information
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NPI Number | 1164513099
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Entity Type | Individual
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Provider Name | DAVID CHRIS WOOD DPM
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 77-6403 NALANI ST STE 104
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City | KAILUA KONA
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State | HI
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Zip | 96740-9763
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Country | US
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Telephone | 808-300-8606
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Fax | 808-657-6833
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Provider Business Mailing Address
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Address Line | PO BOX 2148
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City | KAILUA KONA
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State | HI
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Zip | 96745-2148
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Country | US
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Telephone | 808-300-8606
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Fax | 808-657-6833
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO-208
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | WV342
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License Number State | WV
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