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General NPI Number Information
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NPI Number | 1235348566
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Entity Type | Individual
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Provider Name | MICHAEL WAYNE WOODARD PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 817 PRINCETON AVE SW STE 107
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1340
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Country | US
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Telephone | 205-785-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 194 DOCS DR
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City | DORA
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State | AL
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Zip | 35062-5434
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13963
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License Number State | AL
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