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General NPI Number Information
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NPI Number | 1356487243
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Entity Type | Individual
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Provider Name | DIANA LYNN WOODIEL MS, PT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 WILSON LOOP
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City | WARD
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State | AR
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Zip | 72176
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Country | US
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Telephone | 501-941-5630
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Fax | 501-843-2270
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Provider Business Mailing Address
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Address Line | 33 LILAC LN
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City | CABOT
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State | AR
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Zip | 72023-8182
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Country | US
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Telephone | 501-912-6401
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Fax | 501-843-2270
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2185
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License Number State | AR
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