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General NPI Number Information
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NPI Number | 1891774832
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Entity Type | Individual
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Provider Name | WILLIAM D WOODS OD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1498 MERCHANTS DR
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City | DALLAS
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State | GA
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Zip | 30132-5064
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Country | US
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Telephone | 770-445-2715
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Fax | 770-445-5805
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Provider Business Mailing Address
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Address Line | 1498 MERCHANTS DR
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City | DALLAS
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State | GA
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Zip | 30132-5064
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Country | US
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Telephone | 770-445-2715
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Fax | 770-445-5805
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 871GA
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License Number State | GA
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