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General NPI Number Information
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NPI Number | 1457643801
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Entity Type | Individual
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Provider Name | ERICA L. WOOD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 221 3RD ST W BLDG 1040
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City | JBSA RANDOLPH
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State | TX
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Zip | 78150-4800
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Country | US
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Telephone | 210-916-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 229 GRUENE HVN
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-3368
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Country | US
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Telephone | 207-991-3775
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56587
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License Number State | TX
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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 | PR5414
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License Number State | ME
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