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General NPI Number Information
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NPI Number | 1417382003
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Entity Type | Individual
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Provider Name | ANGELA WOOD PHARM.D., BCPS
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 3300 OAKDALE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422
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Country | US
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Telephone | 763-581-6331
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Fax | 763-581-6334
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Provider Business Mailing Address
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Address Line | 3300 OAKDALE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2926
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Country | US
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Telephone | 763-581-6331
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Fax | 763-581-6334
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051295134
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 120161
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15571-40
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2013029805
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-16039
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License Number State | KS
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