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General NPI Number Information
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NPI Number | 1902080732
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Entity Type | Organization
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Legal Business Name | TODD D.L. WOODS, M.D., P.C.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 10373 NE HANCOCK ST SUITE 131
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City | PORTLAND
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State | OR
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Zip | 97220-3873
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Country | US
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Telephone | 503-254-1102
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Fax | 503-254-1120
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Provider Business Mailing Address
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Address Line | 10373 NE HANCOCK ST SUITE 131
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City | PORTLAND
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State | OR
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Zip | 97220-3873
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Country | US
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Telephone | 503-254-1102
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Fax | 503-254-1120
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | MS. TERESA ANN BOEH-NEAL
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Credential |
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Telephone | 503-254-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD16800
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License Number State | OR
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