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General NPI Number Information
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NPI Number | 1336536325
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Entity Type | Individual
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Provider Name | LAUREN EMILY WOODWARD MHS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 421 W RIVERSIDE AVE SUITE 900
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City | SPOKANE
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State | WA
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Zip | 99201-0405
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Country | US
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Telephone | 509-863-9789
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Fax | 855-630-0757
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Provider Business Mailing Address
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Address Line | 421 W RIVERSIDE AVE SUITE 900
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City | SPOKANE
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State | WA
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Zip | 99201-0405
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Country | US
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Telephone | 509-863-9789
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Fax | 855-630-0757
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 60687163
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License Number State | WA
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