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General NPI Number Information
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NPI Number | 1154743839
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Entity Type | Individual
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Provider Name | CAROLYN WOAHLOE AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 817 TOWNE CT STE 100
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City | SAGINAW
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State | TX
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Zip | 76179-1219
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Country | US
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Telephone | 682-421-0298
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Fax | 817-549-5751
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Provider Business Mailing Address
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Address Line | 8617 GRAY SHALE DR
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City | SAGINAW
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State | TX
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Zip | 76179-4378
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Country | US
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Telephone | 972-890-6684
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1098164
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1094168
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License Number State | TX
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