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General NPI Number Information
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NPI Number | 1306842489
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Entity Type | Individual
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Provider Name | TIMOTHY WAYNE WOODS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1200 WESTWOOD DR STE H
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City | HAMILTON
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State | MT
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Zip | 59840-2345
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Country | US
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Telephone | 406-375-4868
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Fax | 406-375-4655
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Provider Business Mailing Address
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Address Line | 1200 WESTWOOD DR
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City | HAMILTON
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State | MT
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Zip | 59840-2345
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Country | US
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Telephone |
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | M-9236
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MED-PHYS-LIC-34007
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License Number State | MT
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