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General NPI Number Information
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NPI Number | 1326761941
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Entity Type | Individual
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Provider Name | BRANDEY WOODS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 3901 SPICEWOOD SPRINGS RD # 201
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City | AUSTIN
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State | TX
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Zip | 78759-8723
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Country | US
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Telephone | 901-603-8704
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Fax |
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Provider Business Mailing Address
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Address Line | 5171 DICKENS DR
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2765
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Country | US
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Telephone | 216-509-6841
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F02220475
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License Number State | OH
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