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General NPI Number Information
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NPI Number | 1306978366
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Entity Type | Organization
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Legal Business Name | WOOD CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 150 NELLEN AVE STE 200
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City | CORTE MADERA
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State | CA
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Zip | 94925-1197
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Country | US
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Telephone | 415-924-8398
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Fax | 415-927-4720
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Provider Business Mailing Address
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Address Line | 150 NELLEN AVE STE 200
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City | CORTE MADERA
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State | CA
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Zip | 94925-1197
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Country | US
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Telephone | 415-924-8398
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Fax | 415-927-4720
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAPPY J WOOD
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Credential | DC
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Telephone | 415-924-8398
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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 | 29027
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License Number State | CA
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