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NPI 1306798004

NPI 1306798004 : SHARLA MAY WOODS : MAHTOMEDI, MN

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General NPI Number Information
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    NPI Number           |    1306798004
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    Entity Type          |    Individual 
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    Provider Name        |    SHARLA MAY WOODS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/13/2026
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    Last Update Date     |    02/13/2026
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Provider Practice Location Address
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    Address Line         |    140 QUAIL ST 
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    City                 |    MAHTOMEDI
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    State                |    MN
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    Zip                  |    55115-1941
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    Country              |    US
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    Telephone            |    952-843-4113
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1449 10TH ST NW APT 201 
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    City                 |    NEW BRIGHTON
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    State                |    MN
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    Zip                  |    55112-6732
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    Country              |    US
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    Telephone            |    612-388-3676
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    307151
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    License Number State |    MN
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