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General NPI Number Information
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NPI Number | 1326845462
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Entity Type | Individual
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Provider Name | NICOLE MICHELLE WOODARD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 11350 RANDOM HILLS RD STE 310
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone | 703-865-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 N ST NW APT 914
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City | WASHINGTON
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State | DC
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Zip | 20005-4823
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Country | US
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Telephone | 305-720-0097
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810008806
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License Number State | VA
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