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General NPI Number Information
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NPI Number | 1982602058
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Entity Type | Individual
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Provider Name | ROBERT L WOODS MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 19203 ANSEL
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City | IRVINE
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State | CA
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Zip | 92618-0169
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Country | US
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Telephone | 714-547-4332
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Fax | 714-547-4313
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Provider Business Mailing Address
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Address Line | PO BOX 4892
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City | LAGUNA BEACH
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State | CA
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Zip | 92652-4892
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Country | US
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Telephone | 714-547-4332
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Fax | 714-547-4313
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G075218
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License Number State | CA
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