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General NPI Number Information
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NPI Number | 1437442597
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Entity Type | Individual
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Provider Name | JOHN RALPH WOOD DPH
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Gender | Male
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 1250 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3525
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Country | US
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Telephone | 606-676-0485
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Fax | 606-676-9625
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Provider Business Mailing Address
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Address Line | 1250 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3525
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Country | US
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Telephone | 606-676-0485
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Fax | 606-676-9625
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 006238
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PS11828
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 0000004574
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License Number State | TN
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