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General NPI Number Information
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NPI Number | 1467974873
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Entity Type | Individual
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Provider Name | JESSICA L WOOD DNP, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 101 DUDLEY STREET WIH TRIAGE/LDR
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City | PROVIDENCE
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State | RI
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Zip | 02905-2401
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Country | US
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Telephone | 401-274-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 455 TOLLGATE RD PROFESSIONAL REVENUE CYCLE & CREDENTIALING
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-273-0641
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Fax | 401-273-2919
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN02215
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 101.0130398
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License Number State | VT
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