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General NPI Number Information
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NPI Number | 1184117129
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Entity Type | Organization
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Legal Business Name | DANIEL WOODWARD DC PLLC
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 3084 N GOLIAD ST STE 114
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City | ROCKWALL
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State | TX
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Zip | 75087-7164
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Country | US
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Telephone | 972-722-2500
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Fax | 972-722-7382
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Provider Business Mailing Address
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Address Line | 3084 N GOLIAD ST STE 114
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City | ROCKWALL
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State | TX
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Zip | 75087-7164
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Country | US
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Telephone | 972-722-2500
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Fax | 972-722-7382
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DANIEL WOODWARD
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Credential | DC
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Telephone | 972-722-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13146
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License Number State | TX
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