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General NPI Number Information
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NPI Number | 1477799625
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Entity Type | Organization
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Legal Business Name | DR. SEAN T. WOODS, PLLC
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 1240 N PITT ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5600
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Country | US
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Telephone | 703-739-0456
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 N PITT ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5600
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Country | US
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Telephone | 703-739-0456
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEAN T. WOODS
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Credential | D.C.
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Telephone | 703-739-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0104001826
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License Number State | VA
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