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General NPI Number Information
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NPI Number | 1669832481
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Entity Type | Individual
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Provider Name | NATALIE WOODS CNM
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Gender | Female
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 100 MACK AVE FL 1
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City | DETROIT
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State | MI
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Zip | 48201-2416
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Country | US
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Telephone | 313-818-8207
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Fax |
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Provider Business Mailing Address
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Address Line | 16980 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48154-2973
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Country | US
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Telephone | 313-409-4302
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Fax | 313-221-2405
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4704240938
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704240938
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License Number State | MI
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