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General NPI Number Information
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NPI Number | 1780004481
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Entity Type | Individual
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Provider Name | WILLIAM WOOD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 100 WORTH AVE APT 601
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City | PALM BEACH
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State | FL
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Zip | 33480-4465
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Country | US
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Telephone | 561-371-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WORTH AVE APT 601
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City | PALM BEACH
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State | FL
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Zip | 33480-4465
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Country | US
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Telephone | 561-371-8891
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 084340-1
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License Number State | NY
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