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General NPI Number Information
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NPI Number | 1245044726
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Entity Type | Individual
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Provider Name | MR. MICHAEL C WOODE
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Gender | Male
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 27401 LOS ALTOS STE 120
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8580
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Country | US
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Telephone | 562-614-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 23512 VENISIA
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1932
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Country | US
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Telephone | 630-346-4153
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17268
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 145013
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License Number State | CA
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