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General NPI Number Information
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NPI Number | 1871631481
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Entity Type | Organization
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Legal Business Name | WOOLFORD SERVICES
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 3256 CHICO WAY NW
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City | BREMERTON
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State | WA
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Zip | 98312-1322
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Country | US
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Telephone | 360-373-5678
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Fax | 360-373-2263
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Provider Business Mailing Address
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Address Line | PO BOX 3742
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City | SILVERDALE
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State | WA
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Zip | 98383-3742
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Country | US
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Telephone | 360-373-5678
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Fax | 360-373-2263
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES L WOOLFORD
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Credential | CSA
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Telephone | 360-373-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IS-011
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License Number State | WA
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