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General NPI Number Information
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NPI Number | 1659351617
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Entity Type | Individual
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Provider Name | ROBERT W. WOODRUFF JR. MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 627 EASTLAND AVE SE STE 201
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City | WARREN
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State | OH
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Zip | 44484-4501
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Country | US
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Telephone | 330-841-4661
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Fax | 330-841-4565
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Provider Business Mailing Address
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Address Line | 452 BROADWAY AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1556
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Country | US
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Telephone | 888-940-2722
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Fax | 513-632-8898
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35075650W
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.075650
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License Number State | OH
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