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General NPI Number Information
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NPI Number | 1972894996
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Entity Type | Individual
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Provider Name | AURELIA C.H. WOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 411 E CHESTNUT ST # STREET7
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City | LOUISVILLE
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State | KY
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Zip | 40202-1713
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Country | US
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Telephone | 502-588-3400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 776879
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City | CHICAGO
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State | IL
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Zip | 60677-6879
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Country | US
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Telephone | 502-559-9425
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Fax | 502-272-5339
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 35-133249
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 47360
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 47360
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35-133249
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License Number State | OH
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