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General NPI Number Information
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NPI Number | 1447424841
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Entity Type | Organization
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Legal Business Name | WILLIAM D WOOLDRIDGE PA
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 1501 N US HIGHWAY 441 BUILDING 1800 SUITE 1832
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 352-391-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 N US HIGHWAY 441 BUILDING 1800 SUITE 1832
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 352-391-5186
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. WILLIAM D WOOLDRIDGE
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Credential | MD
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Telephone | 352-391-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME45998
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License Number State | FL
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