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General NPI Number Information
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NPI Number | 1407185911
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Entity Type | Organization
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Legal Business Name | RACHEL WOOD DPM
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 500 E CALAVERAS BLVD SUITE 100
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City | MILPITAS
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State | CA
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Zip | 95035-7703
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Country | US
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Telephone | 408-263-8141
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Fax | 408-263-4746
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Provider Business Mailing Address
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Address Line | 500 E CALAVERAS BLVD SUITE 100
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City | MILPITAS
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State | CA
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Zip | 95035-7703
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Country | US
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Telephone | 408-263-8141
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Fax | 408-263-4746
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL WOOD
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Credential | DPM
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Telephone | 408-263-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E26400
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License Number State | CA
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