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General NPI Number Information
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NPI Number | 1386966414
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Entity Type | Individual
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Provider Name | CATHY DUFOUR WOOD MA, CCC-SLP, BCS-S
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Gender | Female
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 1319 CHARLISAS WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78216-7710
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Country | US
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Telephone | 210-355-6020
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Fax | 210-878-4017
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Provider Business Mailing Address
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Address Line | 13423 BLANCO RD # 109
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2187
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Country | US
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Telephone | 210-355-6020
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Fax | 210-878-4017
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 01100024
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16584
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License Number State | TX
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