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General NPI Number Information
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NPI Number | 1629123542
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Entity Type | Individual
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Provider Name | JANE M WOODMAN RN MS CS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | APPLETON BUILDING 2 NO MAIN ST SUITE 3
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City | IPSWICH
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State | MA
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Zip | 01938
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Country | US
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Telephone | 978-356-8638
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Fax | 978-356-8648
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Provider Business Mailing Address
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Address Line | APPLETON BUILDING 2 NO MAIN ST SUITE 3
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City | IPSWICH
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State | MA
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Zip | 01938
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Country | US
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Telephone | 978-356-8638
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Fax | 978-356-8648
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 167791
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License Number State | MA
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