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General NPI Number Information
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NPI Number | 1609714278
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Entity Type | Organization
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Legal Business Name | ISAAC KEITH WOOD
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 2907 COVE VIEW LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4394
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Country | US
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Telephone | 804-307-8964
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Fax | 804-237-0537
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Provider Business Mailing Address
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Address Line | 2907 COVE VIEW LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4394
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Country | US
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Telephone | 804-307-8964
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Fax | 804-237-0537
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Authorized Official
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Title or Position | OWNER
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Name | ISAAC K WOOD
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Credential |
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Telephone | 804-763-9863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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