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General NPI Number Information
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NPI Number | 1265416762
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Entity Type | Individual
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Provider Name | ROBERT P WOODWARD JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 4008 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40213-1612
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Country | US
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Telephone | 502-366-1413
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Fax | 502-366-1414
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Provider Business Mailing Address
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Address Line | 4008 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40213-1612
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Country | US
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Telephone | 502-366-1413
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Fax | 502-366-1414
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3685
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License Number State | KY
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