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General NPI Number Information
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NPI Number | 1528789765
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Entity Type | Individual
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Provider Name | JENNIFER ANN WOODRUFF
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Gender | Female
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 600 2ND ST
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City | SEALY
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State | TX
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Zip | 77474-2229
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Country | US
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Telephone | 281-900-8662
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Fax | 833-260-3340
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Provider Business Mailing Address
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Address Line | PO BOX 1301
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City | SEALY
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State | TX
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Zip | 77474-1301
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Country | US
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Telephone | 281-900-8662
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Fax | 833-260-3340
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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