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General NPI Number Information
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NPI Number | 1740543065
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Entity Type | Individual
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Provider Name | WILLIAM J WOODS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 1208 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2850
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Country | US
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Telephone | 740-453-3442
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 WHITE TAIL CT
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City | NASHPORT
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State | OH
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Zip | 43830-9297
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Country | US
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Telephone | 740-455-2659
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302026183
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03116361
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License Number State | OH
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