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General NPI Number Information
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NPI Number | 1346779220
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Entity Type | Individual
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Provider Name | SANDRA ANN WOODRING CR-NP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 3300 N CALVERT ST STE 107
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City | BALTIMORE
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State | MD
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Zip | 21218-2820
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Country | US
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Telephone | 410-554-6505
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Fax | 410-554-6788
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Provider Business Mailing Address
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Address Line | 306 DUFFY CT
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City | FOREST HILL
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State | MD
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Zip | 21050-2554
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Country | US
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Telephone | 410-877-7650
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R135260
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License Number State | MD
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