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General NPI Number Information
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NPI Number | 1154265270
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Entity Type | Individual
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Provider Name | CHRISTINE WOOD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 301 E HWY 377 STE 112
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City | GRANBURY
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State | TX
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Zip | 76048-1202
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Country | US
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Telephone | 682-529-7274
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Fax |
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Provider Business Mailing Address
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Address Line | 3414 ZANZIBAR CT
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City | GRANBURY
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State | TX
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Zip | 76048-6143
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Country | US
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Telephone |
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108975
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License Number State | TX
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