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General NPI Number Information
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NPI Number | 1235126285
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Entity Type | Individual
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Provider Name | JACQUELINE ANN WOODS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 3075 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4311
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Country | US
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Telephone | 954-491-6200
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Fax | 954-491-6419
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Provider Business Mailing Address
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Address Line | 9640 NW 11TH ST
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City | PLANTATION
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State | FL
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Zip | 33322-4846
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Country | US
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Telephone | 954-474-7242
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1537482
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License Number State | FL
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