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General NPI Number Information
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NPI Number | 1669314886
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Entity Type | Individual
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Provider Name | ANDREW L WOODY
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Gender | Male
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1115 BETHEL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2690
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Country | US
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Telephone | 614-813-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 12699 JEROME RD
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City | PLAIN CITY
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State | OH
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Zip | 43064-9095
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Country | US
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Telephone | 614-813-3391
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2606779
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License Number State | OH
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