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General NPI Number Information
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NPI Number | 1306446240
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Entity Type | Organization
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Legal Business Name | CHRISTINE A WOODWARD, DDS, PLLC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 45860 MAIN ST
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City | CONCRETE
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State | WA
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Zip | 98237
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Country | US
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Telephone | 360-399-1250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570
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City | CONCRETE
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State | WA
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Zip | 98237-0570
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Country | US
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Telephone | 360-399-1250
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHRISTINE A WOODWARD
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Credential | DDS
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Telephone | 715-379-1973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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