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General NPI Number Information
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NPI Number | 1831896984
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Entity Type | Individual
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Provider Name | BELINDA WOODALL PT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 40480 W MORGAN AVE STE 101
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City | PENNINGTON GAP
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State | VA
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Zip | 24277-1821
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Country | US
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Telephone | 276-219-3136
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Fax | 276-546-5404
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Provider Business Mailing Address
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Address Line | 19491 GOOD HOPE RD
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City | ABINGDON
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State | VA
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Zip | 24211-6107
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Country | US
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Telephone | 276-608-6345
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6130
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License Number State | TN
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