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General NPI Number Information
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NPI Number | 1184621633
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Entity Type | Individual
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Provider Name | CAMILLE C WOODSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 900 SWAN CREEK RD E
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-5250
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Country | US
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Telephone | 301-292-1590
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Fax | 301-203-3347
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Provider Business Mailing Address
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Address Line | 10403 HOSPITAL DR STE G4
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City | CLINTON
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State | MD
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Zip | 20735-3134
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Country | US
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Telephone | 301-856-3019
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Fax | 301-856-9370
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0059195
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License Number State | MD
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