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Hazel Woodward

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NPI Number Detailed Information

Provider Information:

Name: Hazel Woodward
Gender: F
Provider License Number If Given: 2134

NPI Information:

NPI: 1780683284
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 1308 17TH AVE SO APT C
Birmingham, AL 35225
Phone Number: 2055276694
Fax Number:

Provider Business Practice Location Address:

Address: 2109 DARLINGTON ST
Birmingham, AL 35226
Phone Number: 2055276694
Fax Number:

Provider Taxonomy:

Primary: 101Y00000X
Secondary (if any):
State: AL

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