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General NPI Number Information
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NPI Number | 1710077862
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Entity Type | Individual
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Provider Name | CAROLYN MELISSA WOODLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 HARROD AVE
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City | BRONX
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State | NY
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Zip | 10472-2703
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Country | US
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Telephone | 718-701-2358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0486281
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 0486281
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License Number State | NY
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