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General NPI Number Information
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NPI Number | 1467893073
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Entity Type | Individual
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Provider Name | LAUREN VIRGINIA WOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 10 CENTER DRIVE MSC 1578 BUILDING 10 ROOM 4A22
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City | BETHESDA
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State | MD
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Zip | 20892-1578
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Country | US
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Telephone | 301-402-0199
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Fax | 301-480-8437
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE MSC 1578 BUILDING 10 ROOM 4A22
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City | BETHESDA
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State | MD
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Zip | 20892-1578
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Country | US
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Telephone | 301-402-0199
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Fax | 301-480-8437
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | D0037712
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License Number State | MD
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