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General NPI Number Information
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NPI Number | 1750449682
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Entity Type | Individual
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Provider Name | PAUL D WOODWARD MD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3421 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-253-1811
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Fax | 707-253-8563
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Provider Business Mailing Address
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Address Line | 3421 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-253-1811
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Fax | 707-253-8563
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A30765
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License Number State | CA
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