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General NPI Number Information
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NPI Number | 1558173294
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Entity Type | Individual
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Provider Name | SARAH WOOD PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 250 2ND ST E STE 4C
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City | BRADENTON
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State | FL
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Zip | 34208-1028
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Country | US
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Telephone | 832-869-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 3906 SARASOTA AVE
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City | SARASOTA
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State | FL
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Zip | 34234-5248
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Country | US
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Telephone | 941-549-1970
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11036751
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License Number State | FL
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