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General NPI Number Information
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NPI Number | 1760972681
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Entity Type | Individual
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Provider Name | THOMAS WOODSON DO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 501 20TH ST STE 606
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City | KNOXVILLE
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State | TN
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Zip | 37916-1863
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Country | US
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Telephone | 865-331-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 SHIRLAND RD
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-7678
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Country | US
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Telephone | 816-377-8288
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 313787
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | FW9028730
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License Number State | FL
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