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General NPI Number Information
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NPI Number | 1447299946
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Entity Type | Individual
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Provider Name | MARIANNE O WOODY CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2730 UNIVERSITY BLVD W STE 400
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City | SILVER SPRING
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State | MD
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Zip | 20902-1972
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Country | US
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Telephone | 443-351-3376
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Fax | 301-933-0960
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Provider Business Mailing Address
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Address Line | 2217 WOODMONT DR
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City | EXPORT
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State | PA
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Zip | 15632-8939
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Country | US
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Telephone | 412-445-9220
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Fax | 412-809-6885
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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 | TP005136B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R266323
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F335201-01
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License Number State | NY
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