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General NPI Number Information
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NPI Number | 1568773638
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Entity Type | Organization
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Legal Business Name | ROBERT ALAN WOODWARD MD PA
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 304 EMMA JANE ST
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City | ROCKWALL
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State | TX
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Zip | 75087-4314
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Country | US
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Telephone | 972-325-2832
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Fax | 972-200-4384
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Provider Business Mailing Address
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Address Line | 304 EMMA JANE ST
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City | ROCKWALL
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State | TX
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Zip | 75087-4314
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Country | US
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Telephone | 972-325-2832
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Fax | 972-200-4384
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT ALAN WOODWARD
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Credential | M.D.
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Telephone | 972-325-2832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G8518
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G8518
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License Number State | TX
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