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General NPI Number Information
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NPI Number | 1356563043
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Entity Type | Organization
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Legal Business Name | WOODARD, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 5105 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74145-7627
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Country | US
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Telephone | 918-712-9990
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Fax | 918-712-9390
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Provider Business Mailing Address
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Address Line | 5105 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74145-7627
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Country | US
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Telephone | 918-712-9990
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Fax | 918-712-9390
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT E WOODARD
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Credential | PHD
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Telephone | 918-712-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A251
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License Number State | OK
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