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General NPI Number Information
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NPI Number | 1801095633
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Entity Type | Organization
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Legal Business Name | KAY L. WOOD MD MEDICAL CORP
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 8135 PAINTER AVE 301
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City | WHITTIER
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State | CA
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Zip | 90602-3102
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Country | US
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Telephone | 562-698-0533
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Fax | 562-698-9653
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Provider Business Mailing Address
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Address Line | 8135 PAINTER AVE 301
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City | WHITTIER
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State | CA
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Zip | 90602-3102
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Country | US
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Telephone | 562-698-0533
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Fax | 562-698-9653
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KAY L WOOD
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Credential | MD
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Telephone | 562-696-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A70825
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License Number State | CA
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