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General NPI Number Information
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NPI Number | 1487185088
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Entity Type | Organization
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Legal Business Name | MICHAEL WOOLMAN MD PLLC
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 2406 WOODLAND DR
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City | OGDEN
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State | UT
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Zip | 84403-5110
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Country | US
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Telephone | 801-791-6543
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 908
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City | BOUNTIFUL
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State | UT
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Zip | 84011-0908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MICHAEL WOOLMAN
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Credential | M.D.
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Telephone | 801-791-6543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 163657-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 163657-1205
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License Number State | UT
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