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General NPI Number Information
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NPI Number | 1659725489
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Entity Type | Individual
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Provider Name | CHARLES WOODS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 721 MIAMI CHAPEL RD
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City | DAYTON
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State | OH
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Zip | 45417-4650
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Country | US
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Telephone | 937-281-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1873
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 35.136592
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.136592
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License Number State | OH
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