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General NPI Number Information
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NPI Number | 1255524203
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Entity Type | Organization
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Legal Business Name | ELEANOR I WOODS
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 1112 N STEMMONS ST
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City | SANGER
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State | TX
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Zip | 76266-9305
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Country | US
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Telephone | 940-458-1915
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 N STEMMONS ST
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City | SANGER
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State | TX
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Zip | 76266-9305
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Country | US
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Telephone | 940-458-1915
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELEANOR I WOODS
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Credential | FNP
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Telephone | 940-458-1915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | J0193
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License Number State | TX
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