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General NPI Number Information
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NPI Number | 1073004776
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Entity Type | Individual
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Provider Name | MARSHA M WOODS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 67925 BAYBERRY DRIVE SUITE A
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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Country | US
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Telephone | 740-526-0204
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Fax | 740-526-0207
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Provider Business Mailing Address
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Address Line | 67925 BAYBERRY DRIVE SUITE A
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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Country | US
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Telephone | 740-526-0204
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Fax | 740-526-0207
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1701484
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2002253
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License Number State | OH
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