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General NPI Number Information
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NPI Number | 1700696333
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Entity Type | Individual
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Provider Name | BROOKE WOODS-STUFFLEBEEM MA, LISW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 4720 MORTENSEN RD STE 101
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City | AMES
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State | IA
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Zip | 50014-5534
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Country | US
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Telephone | 515-599-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 733 NE 9TH ST
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City | ANKENY
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State | IA
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Zip | 50021-2009
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Country | US
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Telephone | 515-460-2089
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 099873
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License Number State | IA
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