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General NPI Number Information
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NPI Number | 1750495156
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Entity Type | Organization
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Legal Business Name | FULL LIFE WELLNESS, PC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 156 TITAN DR
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City | FLORENCE
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State | AL
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Zip | 35630-1197
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Country | US
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Telephone | 256-740-0690
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Fax | 256-740-0694
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Provider Business Mailing Address
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Address Line | 156 TITAN DR
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City | FLORENCE
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State | AL
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Zip | 35630-1197
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Country | US
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Telephone | 256-740-0690
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Fax | 256-740-0694
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Authorized Official
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Title or Position | OWNER
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Name | HOWARD DOUGLAS WOODFORD
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Credential |
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Telephone | 256-740-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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