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General NPI Number Information
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NPI Number | 1952685190
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Entity Type | Individual
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Provider Name | JASON M WOOD PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 230 S BROADWAY
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City | PENNSVILLE
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State | NJ
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Zip | 08070-2724
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Country | US
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Telephone | 856-678-2224
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Fax | 856-678-5102
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Provider Business Mailing Address
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Address Line | 105 CHRISTINA LANDING DR APT 2006
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City | WILMINGTON
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State | DE
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Zip | 19801-5200
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Country | US
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Telephone | 856-979-4859
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03151800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A10003401
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License Number State | DE
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