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General NPI Number Information
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NPI Number | 1679037444
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Entity Type | Individual
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Provider Name | LATRERA CAMPBELL WOODBERRY FNP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 425 CALIFORNIA ST STE 1400
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-2116
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Country | US
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Telephone | 855-527-1850
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Fax | 650-360-8447
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Provider Business Mailing Address
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Address Line | 2518 HIGHWAY 9 E
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City | DILLON
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State | SC
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Zip | 29536-6166
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Country | US
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Telephone | 843-841-5313
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14862800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186647
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC005136
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP028969
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP001009
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 092349-23
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11017086
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22659
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015386
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License Number State | NC
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