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General NPI Number Information
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NPI Number | 1598679011
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Entity Type | Individual
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Provider Name | TROY WOODTKE RN BSN
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Gender | Male
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 5151 KARL RD
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City | COLUMBUS
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State | OH
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Zip | 43229-4431
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Country | US
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Telephone | 614-365-5354
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Fax | 614-365-5357
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Provider Business Mailing Address
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Address Line | 5151 KARL RD
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City | COLUMBUS
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State | OH
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Zip | 43229-4431
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Country | US
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Telephone | 614-365-5354
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Fax | 614-365-5357
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN403309
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License Number State | OH
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