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General NPI Number Information
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NPI Number | 1669892956
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Entity Type | Individual
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Provider Name | CORY MURRAY WOOD DDS
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Gender | Male
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 900 N LAST CHANCE GULCH STE 101
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City | HELENA
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State | MT
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Zip | 59601-3415
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Country | US
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Telephone | 406-442-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N LAST CHANCE GULCH STE 101
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City | HELENA
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State | MT
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Zip | 59601-3415
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Country | US
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Telephone | 406-442-0288
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 11379
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License Number State | MT
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