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General NPI Number Information
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NPI Number | 1518188101
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Entity Type | Individual
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Provider Name | LAUREN L. WOOD OTR
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11783 ROCK LANDING ROAD
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-668-6248
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Fax | 757-668-6246
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Provider Business Mailing Address
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Address Line | 303 DUNN CIRCLE
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-826-8142
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Fax |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119000389
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License Number State | VA
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