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General NPI Number Information
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NPI Number | 1598776916
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Entity Type | Organization
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Legal Business Name | WOOD HEALTH COMPANY LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1039 HASKINS RD UNIT A
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City | BOWLING GREEN
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State | OH
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Zip | 43402-9066
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Country | US
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Telephone | 419-373-7607
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Fax |
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Provider Business Mailing Address
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Address Line | 745 HASKINS RD STE B
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City | BOWLING GREEN
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State | OH
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Zip | 43402-1600
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Country | US
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Telephone | 419-373-7607
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Fax | 419-353-7076
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STAN KORDUCKI
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Credential |
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Telephone | 419-373-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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