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General NPI Number Information
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NPI Number | 1396110623
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Entity Type | Individual
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Provider Name | DESHA MARIE WOOD ND
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Gender | Female
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 3100 NW BUCKLIN HILL RD STE. 206D
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City | SILVERDALE
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State | WA
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Zip | 98383-8358
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Country | US
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Telephone | 303-999-1963
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Fax |
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Provider Business Mailing Address
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Address Line | 9988 PLATEAU RD
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City | LONGMONT
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State | CO
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Zip | 80504-7730
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Country | US
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Telephone | 303-999-1963
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Fax |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 2080
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License Number State | OR
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