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General NPI Number Information
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NPI Number | 1841378023
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Entity Type | Organization
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Legal Business Name | EDNA P WOOD SOMETHING SPECIAL
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 415 LEXINGTON AVENUE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4711
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Country | US
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Telephone | 434-296-5454
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Fax | 434-296-5454
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Provider Business Mailing Address
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Address Line | 415 LEXINGTON AVENUE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4711
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Country | US
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Telephone | 434-296-5454
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Fax | 434-296-5454
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Authorized Official
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Title or Position | SOLE PROPRIETOR OWNER
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Name | MRS. EDNA P WOOD
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Credential | CERTIFIED FITTER
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Telephone | 434-296-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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