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General NPI Number Information
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NPI Number | 1336273234
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Entity Type | Individual
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Provider Name | MICHAEL JAMES WOOD M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 253 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-7560
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Country | US
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Telephone | 603-229-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 253 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-7560
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Country | US
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Telephone | 603-229-5114
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 060-0003194
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD13262
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 15274
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License Number State | NH
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