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General NPI Number Information
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NPI Number | 1821034612
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Entity Type | Individual
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Provider Name | LAWRENCE GILMORE WOOD MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 303-798-8262
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Fax | 303-798-8463
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Provider Business Mailing Address
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Address Line | 3464 S WILLOW ST SUITE 169
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City | DENVER
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State | CO
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Zip | 80231-4531
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Country | US
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Telephone | 303-755-2900
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Fax | 303-755-0404
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23078
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License Number State | CO
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