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Individual
SCOTT F WOOD
Active
Individual
SCOTT F WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001099805
ANTHEM PROVIDER NUMBER
IN
05
—
201405880
—
IN
Enumeration date
11/17/2016
Last updated
03/02/2021
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