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General NPI Number Information
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NPI Number | 1366777351
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Entity Type | Individual
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Provider Name | MEREDITH C WOOD NP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 08/07/2022
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Provider Practice Location Address
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Address Line | 4835 POPLAR LEVEL RD STE 110
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City | LOUISVILLE
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State | KY
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Zip | 40213-2906
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Country | US
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Telephone | 855-591-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 HIGHGROVE LN
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City | CLARKSVILLE
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State | TN
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Zip | 37043-2141
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Country | US
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Telephone | 803-292-3851
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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 | 3010984
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4040
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN204002
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 29283
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3010984
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License Number State | KY
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