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General NPI Number Information
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NPI Number | 1518444256
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Entity Type | Individual
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Provider Name | TINA WOOD CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 113 N MAIN ST
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City | CEDARTOWN
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State | GA
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Zip | 30125-2645
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Country | US
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Telephone | 256-706-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 7 N KENORA DR SW
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City | ROME
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State | GA
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Zip | 30165-9628
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Country | US
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Telephone | 256-706-3027
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN135625
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License Number State | GA
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