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General NPI Number Information
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NPI Number | 1952756124
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF FLORIDA
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1537 THERESA DR APT A
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City | CHARLESTON
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State | SC
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Zip | 29412-3242
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Country | US
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Telephone | 803-553-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 1537 THERESA DR APT A
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City | CHARLESTON
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State | SC
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Zip | 29412-3242
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Country | US
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Telephone | 803-553-1820
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. JAMES WOOD
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Credential | DMD
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Telephone | 803-553-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | SC
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