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General NPI Number Information
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NPI Number | 1154208049
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Entity Type | Individual
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Provider Name | MINDI A WOODRUFF RN
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 215 S POWER RD STE 114
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City | MESA
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State | AZ
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Zip | 85206-5236
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Country | US
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Telephone | 480-562-6644
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Fax | 480-981-1405
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Provider Business Mailing Address
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Address Line | 215 S POWER RD STE 114
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City | MESA
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State | AZ
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Zip | 85206-5236
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Country | US
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Telephone | 480-562-6644
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Fax | 480-981-1405
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN184185
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License Number State | AZ
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