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General NPI Number Information
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NPI Number | 1053849406
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Entity Type | Individual
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Provider Name | AMY NICOLE WOODY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 6765 WINNING DR
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City | FRISCO
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State | TX
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Zip | 75034-8162
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Country | US
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Telephone | 214-494-8988
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Fax | 214-988-5380
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Provider Business Mailing Address
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Address Line | 721 AGAVE DR
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City | PROSPER
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State | TX
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Zip | 75078-2258
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Country | US
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Telephone | 832-334-9847
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | AP134700
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | AP134700
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134700
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License Number State | TX
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