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General NPI Number Information
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NPI Number | 1467476242
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Entity Type | Individual
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Provider Name | DRURY L. WOODSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 622 HIGHWAY 3
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City | LA MARQUE
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State | TX
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Zip | 77568-5936
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Country | US
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Telephone | 409-933-0733
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Fax | 409-933-9777
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Provider Business Mailing Address
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Address Line | PO BOX 1263
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City | DICKINSON
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State | TX
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Zip | 77539-1263
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Country | US
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Telephone | 409-933-0733
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Fax | 409-933-9777
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D2636
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License Number State | TX
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