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General NPI Number Information
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NPI Number | 1174715080
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Entity Type | Individual
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Provider Name | MEG WOODARD R.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 09/25/2016
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Provider Practice Location Address
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Address Line | 445 MARINE VIEW AVE SUITE 300
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City | DEL MAR
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State | CA
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Zip | 92014-3969
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Country | US
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Telephone | 760-889-9643
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Fax |
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Provider Business Mailing Address
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Address Line | 7521 BRAVA ST
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City | CARLSBAD
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State | CA
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Zip | 92009-7504
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Country | US
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Telephone | 760-889-9643
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | PAF813657
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License Number State | CA
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