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General NPI Number Information
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NPI Number | 1245774132
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Entity Type | Individual
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Provider Name | ADRIENN MYERS-WOODS NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 840 W IRVING PARK RD STE 305
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City | CHICAGO
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State | IL
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Zip | 60613-3011
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Country | US
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Telephone | 773-975-6775
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Fax | 773-975-3289
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Provider Business Mailing Address
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Address Line | 2845 N SHERIDAN RD SUITE 902
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 773-904-8641
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 209.015185
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License Number State | IL
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