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General NPI Number Information
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NPI Number | 1790792711
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Entity Type | Individual
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Provider Name | WILLIAM E WOOD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 213 E REDWOOD AVE
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City | SALLISAW
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State | OK
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Zip | 74955-2811
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Country | US
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Telephone | 918-774-1100
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Fax | 918-774-1103
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Provider Business Mailing Address
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Address Line | 213 E REDWOOD AVE
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City | SALLISAW
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State | OK
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Zip | 74955-2811
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Country | US
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Telephone | 918-774-1100
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Fax | 918-774-1103
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20449
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License Number State | OK
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