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General NPI Number Information
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NPI Number | 1487747291
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Entity Type | Individual
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Provider Name | DAVID LYNDEN WOOD M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5901 E. 7TH STREET
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City | LONG BEACH
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State | CA
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Zip | 90822
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Country | US
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Telephone | 562-826-5557
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Fax | 562-826-5666
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Provider Business Mailing Address
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Address Line | P.O. BOX 8475
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City | LONG BEACH
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State | CA
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Zip | 90808
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Country | US
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Telephone | 562-243-8872
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Fax | 562-421-4471
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A18630
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License Number State | CA
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