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General NPI Number Information
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NPI Number | 1356963276
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Entity Type | Individual
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Provider Name | QUINCY TREMAYNE WOODS DNP, MSO, MSN, FNP,
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Gender | Male
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 2569 W FLORIDA AVE # 2569
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City | HEMET
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State | CA
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Zip | 92545-4615
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Country | US
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Telephone | 519-253-6359
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Fax | 951-925-0014
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Provider Business Mailing Address
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Address Line | 2569 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-4615
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Country | US
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Telephone | 951-925-3635
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Fax | 951-925-0014
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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 | 95014410
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 95182457
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License Number State | CA
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