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General NPI Number Information
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NPI Number | 1093586356
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Entity Type | Individual
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Provider Name | CRISTINA MUMME WOODALL RDMS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3108 CLEARY AVE STE 205
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City | METAIRIE
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State | LA
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Zip | 70002-5755
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Country | US
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Telephone | 504-500-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 CLEARY AVE STE 205
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City | METAIRIE
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State | LA
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Zip | 70002-5755
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Country | US
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Telephone | 504-500-7870
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Fax | 337-761-1682
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 176342
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License Number State | MS
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