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General NPI Number Information
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NPI Number | 1285424507
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Entity Type | Individual
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Provider Name | LYDIA GRACE WOODS SLP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 202 FRANFORT ST SUITE 103 AND 104
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City | VERSAILLES
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State | KY
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Zip | 40383
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Country | US
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Telephone | 859-212-9705
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BARRINGER DR APT 11
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City | RICHMOND
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State | KY
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Zip | 40475-2943
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Country | US
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Telephone | 606-594-0461
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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