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General NPI Number Information
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NPI Number | 1265785596
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Entity Type | Individual
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Provider Name | SHIKIRA MONE' WOODS DNP PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 450 U.S. 64 BUSINESS #4
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City | HAYESVILLE
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State | NC
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Zip | 28904-2890
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Country | US
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Telephone | 706-896-7102
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Fax |
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Provider Business Mailing Address
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Address Line | 4492 LILY BROOKE CT
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-3288
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Country | US
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Telephone | 404-354-4059
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2012017919
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN175825
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License Number State | GA
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