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General NPI Number Information
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NPI Number | 1568283182
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Entity Type | Individual
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Provider Name | DEREK KENT WOODS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2315 N PERKINS RD
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City | STILLWATER
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State | OK
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Zip | 74075
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Country | US
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Telephone | 405-564-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 W MOUNTAIN HEIGHTS RD
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City | FORT COBB
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State | OK
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Zip | 73038
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Country | US
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Telephone | 580-481-8082
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14884
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License Number State | OK
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