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General NPI Number Information
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NPI Number | 1699985556
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Entity Type | Individual
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Provider Name | STEPHEN ARTHUR WOODLEY L. AC.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 1550 THE ALAMEDA STE 130
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City | SAN JOSE
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State | CA
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Zip | 95126-2322
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Country | US
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Telephone | 650-678-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 85 RIO ROBLES E UNIT 1404
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City | SAN JOSE
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State | CA
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Zip | 95134-1653
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Country | US
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Telephone | 650-678-1102
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC7389
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License Number State | CA
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