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General NPI Number Information
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NPI Number | 1679445159
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Entity Type | Individual
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Provider Name | ELIZABETH KAYE WOODWARD AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1029 NICHOLS RD STE 401
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3008
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Country | US
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Telephone | 573-302-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 8 HAND LN
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City | ELDON
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State | MO
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Zip | 65026-4770
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Country | US
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Telephone |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 2025041504
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2025041504
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2025041504
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2025041504
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License Number State | MO
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