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General NPI Number Information
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NPI Number | 1649895707
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Entity Type | Individual
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Provider Name | PARKER WOODRUFF DMD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2020
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 10184 W HAPPY VALLEY PKWY STE 195
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City | PEORIA
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State | AZ
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Zip | 85383-1254
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Country | US
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Telephone | 805-861-8609
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 W BENT TREE DR
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City | PEORIA
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State | AZ
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Zip | 85383-5154
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Country | US
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Telephone |
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D010702
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License Number State | AZ
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