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General NPI Number Information
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NPI Number | 1548545288
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Entity Type | Organization
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Legal Business Name | WOODS CROSS INVESTMENTS LLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 2401 WELLESLEY DRIVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107
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Country | US
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Telephone | 505-883-8888
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Fax | 505-883-2830
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Provider Business Mailing Address
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Address Line | 2401 WELLESLEY DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1811
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Country | US
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Telephone | 505-883-8888
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Fax | 505-883-2830
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Authorized Official
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Title or Position | OWNER
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Name | MS. PRIYA DIAS
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Credential |
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Telephone | 714-981-2995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | FA0060766
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License Number State | NM
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