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General NPI Number Information
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NPI Number | 1134359540
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Entity Type | Individual
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Provider Name | JANINE WOODS R.N., P.H.N.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 1010 BEETHOVEN CMN #100
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City | FREMONT
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State | CA
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Zip | 94538-4624
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Country | US
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Telephone | 510-938-9650
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Fax | 510-744-9792
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Provider Business Mailing Address
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Address Line | 1010 BEETHOVEN CMN #100
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City | FREMONT
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State | CA
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Zip | 94538-4624
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Country | US
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Telephone | 510-938-9650
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Fax | 510-744-9792
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN 459238
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN 459238
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License Number State | CA
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