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General NPI Number Information
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NPI Number | 1306271101
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Entity Type | Organization
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Legal Business Name | D D WOODY DPM PLLC
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 10000 TELEGRAPH RD
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City | TAYLOR
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State | MI
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Zip | 48180-3330
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Country | US
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Telephone | 734-231-2310
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Fax | 313-294-0437
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Provider Business Mailing Address
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Address Line | 1844 4TH ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-3905
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Country | US
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Telephone | 734-231-2310
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Fax | 313-294-0437
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Authorized Official
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Title or Position | OWNER
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Name | DEBBIE WOODY
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Credential | DPM
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Telephone | 734-231-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901001734
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License Number State | MI
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