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General NPI Number Information
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NPI Number | 1457757056
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Entity Type | Individual
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Provider Name | SALLY EDWARDS WOOD RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2014
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 237 NEWLAND CIR
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City | EVANS
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State | GA
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Zip | 30809-6687
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Country | US
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Telephone | 706-504-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 237 NEWLAND CIR
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City | EVANS
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State | GA
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Zip | 30809-6687
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Country | US
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Telephone | 706-504-2227
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN170191
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | GA
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