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General NPI Number Information
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NPI Number | 1801823356
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Entity Type | Individual
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Provider Name | WESLEY BRYAN WOODS D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2501 W. WILLIAM CANNON SUITE 208
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-442-9595
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Fax | 512-411-5111
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Provider Business Mailing Address
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Address Line | 5716 JANABYRD LN
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City | AUSTIN
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State | TX
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Zip | 78749-4017
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Country | US
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Telephone | 512-301-9204
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6926
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License Number State | TX
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