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General NPI Number Information
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NPI Number | 1053113639
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Entity Type | Individual
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Provider Name | LATRINA WOODS REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 15308 TROY ST
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City | TAYLOR
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State | MI
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Zip | 48180-7701
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Country | US
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Telephone | 313-713-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 15308 TROY ST
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City | TAYLOR
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State | MI
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Zip | 48180-7701
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Country | US
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Telephone | 313-713-3939
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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