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General NPI Number Information
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NPI Number | 1295796886
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Entity Type | Individual
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Provider Name | LAURIE E WOODS NP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 1 ESSEX CENTER DR LAHEY NORTHSHORE
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City | PEABODY
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State | MA
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Zip | 01960-2901
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Country | US
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Telephone | 978-977-6336
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Fax |
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Provider Business Mailing Address
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Address Line | LAHEY CLINIC INC 41 MALL ROAD
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City | BURLINGTON
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State | MA
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Zip | 01805-0001
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Country | US
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Telephone | 781-744-8000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 254713
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 254713
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License Number State | MA
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