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General NPI Number Information
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NPI Number | 1730449125
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Entity Type | Individual
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Provider Name | WOODLYNE ROQUIZ D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | QUEST DIAGNOSTICS 506 E STATE PARKWAY
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City | SCHAUMBURG
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State | IL
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Zip | 60173
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Country | US
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Telephone | 847-755-5176
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Fax | 224-408-2293
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Provider Business Mailing Address
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Address Line | 14855 S VAN DYKE RD UNIT 133
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City | PLAINFIELD
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State | IL
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Zip | 60544-4305
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | OP61342379
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.134686
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 036.134686
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License Number State | IL
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