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General NPI Number Information
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NPI Number | 1982124806
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Entity Type | Organization
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Legal Business Name | WOODCOURT DOCTORS INC.
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 20301 VENTURA BLVD STE 225
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-0921
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Country | US
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Telephone | 818-914-5440
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Fax | 818-914-5441
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Provider Business Mailing Address
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Address Line | 20301 VENTURA BLVD STE 225
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-0921
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Country | US
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Telephone | 818-914-5440
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Fax | 818-914-5441
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RAJA KAIRALLA SROUR
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Credential | MD
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Telephone | 818-914-5440
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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 |
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License Number State |
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