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General NPI Number Information
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NPI Number | 1609824952
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Entity Type | Individual
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Provider Name | LINDA SUE WOODWARD FNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 1000 WILLOW CREEK RD SUITE G
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City | PRESCOTT
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State | AZ
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Zip | 86301-1645
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Country | US
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Telephone | 928-458-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 29620 N 69TH ST SUITE G
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-8500
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Country | US
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Telephone | 602-318-8876
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Fax | 866-616-0686
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN070288
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License Number State | AZ
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