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General NPI Number Information
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NPI Number | 1447055926
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Entity Type | Individual
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Provider Name | RAVEN WOODRUFF
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 101 T ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1519
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Country | US
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Telephone | 202-658-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 CONNECTICUT AVE NW APT 1024
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City | WASHINGTON
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State | DC
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Zip | 20008-5909
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | DC7237971736
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License Number State | DC
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