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General NPI Number Information
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NPI Number | 1427361807
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Entity Type | Individual
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Provider Name | LINDSEY E WOOD LCPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 915 VERMONT ST
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City | QUINCY
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State | IL
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Zip | 62301-3049
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Country | US
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Telephone | 217-222-8254
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Fax | 217-222-4512
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Provider Business Mailing Address
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Address Line | 915 VERMONT ST
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City | QUINCY
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State | IL
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Zip | 62301-3049
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Country | US
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Telephone | 217-222-8254
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Fax | 217-222-4512
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.008070
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000867
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License Number State | IL
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