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General NPI Number Information
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NPI Number | 1386711554
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Entity Type | Organization
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Legal Business Name | WOOD HEALTH CARE CLINIC PC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1307 LAFAYETTE AVENUE
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City | MOUNDSVILLLE
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State | WV
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Zip | 26041-2316
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Country | US
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Telephone | 304-845-2500
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Fax | 304-845-2624
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Provider Business Mailing Address
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Address Line | 1307 LAFAYETTE AVENUE
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City | MOUNDSVILLE
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State | WV
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Zip | 26041-2316
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Country | US
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Telephone | 304-845-2500
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Fax | 304-845-2624
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Authorized Official
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Title or Position | EMPLOYER
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Name | RALPH E WOOD
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Credential | DO
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Telephone | 304-845-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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