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General NPI Number Information
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NPI Number | 1750561189
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Entity Type | Individual
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Provider Name | DEXTER ARVANGE WOODS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 158 RIVERWATCH DR
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City | INDIAN HEAD
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State | MD
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Zip | 20640-1558
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Country | US
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Telephone | 301-743-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 W PERIMETER RD
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City | ANDREWS AFB
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State | MD
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Zip | 20762-6601
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Country | US
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Telephone | 240-857-3909
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Fax | 240-857-1947
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12641
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN5893
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License Number State | DC
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