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General NPI Number Information
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NPI Number | 1932324076
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Entity Type | Individual
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Provider Name | THOMAS R WOODS DPM
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 30915 LORAIN RD SUITE 114
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-4722
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Country | US
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Telephone | 440-471-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 30915 LORAIN RD SUITE 114
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-4722
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Country | US
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Telephone | 440-471-4970
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 127
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License Number State | SC
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