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General NPI Number Information
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NPI Number | 1750777322
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Entity Type | Organization
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Legal Business Name | WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2955 ELDORADO PKWY STE 150
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City | FRISCO
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State | TX
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Zip | 75033-7201
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Country | US
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Telephone | 214-407-8668
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Fax | 214-407-8665
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Provider Business Mailing Address
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Address Line | 714 SUSSEX CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8869
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Country | US
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Telephone | 469-501-5346
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Fax | 888-508-9199
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANE COLE
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Credential | MD
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Telephone | 214-407-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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