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General NPI Number Information
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NPI Number | 1932419033
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Entity Type | Individual
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Provider Name | DONNA DEAN WOODALL OSTER CMT,LMT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 302 VIRGINIA AVE
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City | BLUEFIELD
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State | VA
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Zip | 24605-1922
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Country | US
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Telephone | 304-888-4345
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Fax |
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Provider Business Mailing Address
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Address Line | 434 WOODYS RD
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City | BLUEFIELD
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State | VA
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Zip | 24605-8740
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Country | US
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Telephone | 276-945-2761
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2010-2738
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0019009159
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License Number State | VA
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