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General NPI Number Information
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NPI Number | 1174532311
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Entity Type | Individual
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Provider Name | WENDY WOODS DPM
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9811 MALLARD DR 118-119
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City | LAUREL
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State | MD
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Zip | 20708-3143
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Country | US
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Telephone | 301-497-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 3540 CRAIN HWY # 403
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City | BOWIE
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State | MD
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Zip | 20716-1303
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Country | US
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Telephone | 301-497-9490
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Fax |
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 01388
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License Number State | MD
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