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General NPI Number Information
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NPI Number | 1255396891
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Entity Type | Organization
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Legal Business Name | DAVID K. WOODRUFF, AU.D. AN AUDIOLOGY CORPORATION
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 6037 LA GRANADA SUITE D
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-0524
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Country | US
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Telephone | 858-759-8922
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Fax | 858-759-8022
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-0524
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Country | US
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Telephone | 858-759-8922
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Fax | 858-759-8022
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID K. WOODRUFF
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Credential | AU.D
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Telephone | 858-759-8922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU1835
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU1111
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA2516
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU1111
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License Number State | CA
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