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General NPI Number Information
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NPI Number | 1568063295
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Entity Type | Organization
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Legal Business Name | WOODLY FOOT AND ANKLE SPECIALISTS PC
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 7208 GLENVIEW DR STE B
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City | RICHLAND HILLS
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State | TX
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Zip | 76180-8693
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Country | US
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Telephone | 682-323-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 7208 GLENVIEW DR STE B
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City | RICHLAND HILLS
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State | TX
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Zip | 76180-8693
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Country | US
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Telephone | 682-323-9205
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | NICOLE COBB
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Credential |
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Telephone | 682-323-9306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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