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General NPI Number Information
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NPI Number | 1699834788
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Entity Type | Organization
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Legal Business Name | JAMES F WOOD DDS PC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 72 NEWTOWN AVE
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City | NORWALK
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State | CT
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Zip | 06851-3025
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Country | US
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Telephone | 203-846-1234
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Fax | 203-847-4789
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Provider Business Mailing Address
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Address Line | 72 NEWTOWN AVE
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City | NORWALK
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State | CT
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Zip | 06851-3025
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Country | US
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Telephone | 203-846-1234
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Fax | 203-847-4789
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES F WOOD
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Credential | DDS
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Telephone | 203-846-1234
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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 | 008094
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License Number State | CT
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