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General NPI Number Information
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NPI Number | 1023550688
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Entity Type | Individual
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Provider Name | JENNIFER WOOD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 550 W ARLINGTON PL APT 801
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City | CHICAGO
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State | IL
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Zip | 60614-6429
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Country | US
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Telephone | 616-402-7013
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W ARLINGTON PL APT 801
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City | CHICAGO
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State | IL
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Zip | 60614-6429
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Country | US
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Telephone |
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1033676
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041445801
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 113372
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 041445801
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License Number State | IL
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