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NPI 1316431661

NPI 1316431661 : PAMELA WOODS PT : SCHENECTADY, NY

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General NPI Number Information
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    NPI Number           |    1316431661
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA WOODS PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2018
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    Last Update Date     |    06/26/2023
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Provider Practice Location Address
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    Address Line         |    1023 DEAN ST 
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    City                 |    SCHENECTADY
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    State                |    NY
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    Zip                  |    12309-5719
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    Country              |    US
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    Telephone            |    518-881-6345
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1023 DEAN ST 
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    City                 |    SCHENECTADY
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    State                |    NY
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    Zip                  |    12309-5719
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    Country              |    US
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    Telephone            |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    043033
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5149
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    License Number State |    NH
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