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General NPI Number Information
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NPI Number | 1669695821
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Entity Type | Organization
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Legal Business Name | STEPHEN F. WOOD, D.D.S., PA
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4402 VANCE JACKSON RD SUITE 235
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5336
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Country | US
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Telephone | 210-558-3133
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Fax | 210-308-9062
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Provider Business Mailing Address
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Address Line | 4402 VANCE JACKSON RD SUITE 235
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5336
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Country | US
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Telephone | 210-558-3133
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Fax | 210-308-9062
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CORINNE R PIERCE
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Credential |
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Telephone | 210-558-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12524
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License Number State | TX
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