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General NPI Number Information
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NPI Number | 1255667879
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Entity Type | Organization
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Legal Business Name | AMW MEDICAL CONSULTING LLC
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 2685 HARRISON ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1201
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Country | US
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Telephone | 409-892-7200
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Fax | 409-892-7201
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Provider Business Mailing Address
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Address Line | PO BOX 1513
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City | DEER PARK
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State | TX
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Zip | 77536-1513
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Country | US
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Telephone | 281-576-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGIE M WOODSON
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Credential |
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Telephone | 281-576-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State | TX
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