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General NPI Number Information
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NPI Number | 1518458967
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Entity Type | Individual
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Provider Name | TONI WOODS
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 1450 FERN CREEK DR
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City | STATESVILLE
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State | NC
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Zip | 28625-9376
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Country | US
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Telephone | 828-461-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 218 S MAIN AVE BOX 1488
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City | NEWTON
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State | NC
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Zip | 28658-2223
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Country | US
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Telephone | 828-461-6060
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 510453
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 24173
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P016189
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License Number State | NC
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