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General NPI Number Information
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NPI Number | 1740113414
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Entity Type | Organization
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Legal Business Name | MELANIE WOOD MD PLLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 6903 BIG BEND DR
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City | IDAHO FALLS
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State | ID
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Zip | 83406-5501
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Country | US
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Telephone | 203-499-7998
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Fax |
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Provider Business Mailing Address
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Address Line | 6903 BIG BEND DR
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City | IDAHO FALLS
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State | ID
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Zip | 83406-5501
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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 | DIRECTOR
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Name | MELANIE WOOD
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Credential | MD
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Telephone | 203-499-7998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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