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General NPI Number Information
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NPI Number | 1568843159
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Entity Type | Individual
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Provider Name | WILLIAM RYAN WOOD O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 16901 CHENAL PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72223
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Country | US
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Telephone | 501-295-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 815 TECHNOLOGY DR UNIT 241460
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City | LITTLE ROCK
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State | AR
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Zip | 72223-6084
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Country | US
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Telephone | 501-295-4011
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Fax | 501-295-4003
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3221
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4013
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License Number State | AR
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