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General NPI Number Information
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NPI Number | 1609682723
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Entity Type | Organization
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Legal Business Name | WOODS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1403 S MAIN ST STE E
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City | POPLARVILLE
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State | MS
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Zip | 39470-3394
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Country | US
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Telephone | 601-795-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 S MAIN ST STE E
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City | POPLARVILLE
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State | MS
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Zip | 39470-3394
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Country | US
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Telephone | 601-795-6618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN WOODS
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Credential |
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Telephone | 601-795-6618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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