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General NPI Number Information
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NPI Number | 1518835396
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Entity Type | Individual
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Provider Name | JENNIE WOODS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6748 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2545
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Country | US
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Telephone | 813-467-4270
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Fax | 813-467-4272
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Provider Business Mailing Address
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Address Line | 6719 GALL BLVD STE 208
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2569
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120954
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | PA9120954
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License Number State | FL
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