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General NPI Number Information
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NPI Number | 1134261993
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Entity Type | Individual
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Provider Name | BARBARA A WOOD NP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 217 LINN ST
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City | ITHACA
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State | NY
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Zip | 14850-3716
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Country | US
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Telephone | 607-272-4030
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Fax | 607-330-3672
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Provider Business Mailing Address
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Address Line | 217 LINN ST
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City | ITHACA
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State | NY
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Zip | 14850-3716
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Country | US
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Telephone | 607-272-4030
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Fax | 607-330-3672
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402160
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335115-1
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License Number State | NY
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