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General NPI Number Information
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NPI Number | 1528440187
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Entity Type | Organization
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Legal Business Name | WOOD CC INC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 109 HAMES AVE
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City | JONESVILLE
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State | SC
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Zip | 29353-1515
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Country | US
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Telephone | 864-674-5358
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Fax | 864-674-5358
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Provider Business Mailing Address
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Address Line | 109 HAMES AVE
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City | JONESVILLE
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State | SC
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Zip | 29353-1515
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Country | US
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Telephone | 864-674-5358
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Fax | 864-674-5358
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD WALES WOOD II
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Credential | D.C.
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Telephone | 864-674-5358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | SC
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