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NPI 1962691956

NPI 1962691956 : DAVID W WOOD L.P.C. : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1962691956
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID W WOOD L.P.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2007
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    12 MEDICAL DR 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-4136
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    Country              |    US
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    Telephone            |    806-356-0404
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    Fax                  |    806-356-0590
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Provider Business Mailing Address
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    Address Line         |    12 MEDICAL DR 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-4136
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    Country              |    US
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    Telephone            |    806-356-0404
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    Fax                  |    806-356-0590
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    17644
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    License Number State |    TX
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