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General NPI Number Information
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NPI Number | 1215161302
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Entity Type | Individual
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Provider Name | JULIE WOODSIDE
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Gender | Female
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 441 MCALISTER RD SUITE 1100A
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City | LINCOLNTON
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State | NC
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Zip | 28092-4126
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Country | US
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Telephone | 980-212-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 441 MCALISTER RD
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City | LINCOLNTON
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State | NC
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Zip | 28092-4126
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2010-01731
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 2010-01731
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License Number State | NC
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