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General NPI Number Information
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NPI Number | 1679776942
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Entity Type | Individual
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Provider Name | TIFFANY NICOLE WOODUS MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2302 LONE STAR RD STE 200
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City | MANSFIELD
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State | TX
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Zip | 76063-8751
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Country | US
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Telephone | 682-268-6707
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Fax | 682-268-6708
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Provider Business Mailing Address
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Address Line | 2302 LONE STAR RD STE 200
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City | MANSFIELD
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State | TX
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Zip | 76063-8751
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Country | US
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Telephone | 682-268-6707
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Fax | 682-268-6708
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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 | N4951
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License Number State | TX
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