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General NPI Number Information
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NPI Number | 1346033644
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Entity Type | Organization
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Legal Business Name | WOODS & ROSENZWEIG ORTHODONTICS LLP
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 502 NE 4TH STREET
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-382-6822
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Fax | 541-382-1263
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Provider Business Mailing Address
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Address Line | 502 NE 4TH STREET
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-382-6822
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Fax | 541-382-1263
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Authorized Official
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Title or Position | ORTHODONTIST PARTNER
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Name | SHANNON MALONEY WOODS
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Credential | DMD, MS
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Telephone | 541-382-6822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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