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General NPI Number Information
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NPI Number | 1720727761
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Entity Type | Individual
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Provider Name | BRIANNA WOODWARD ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 05/28/2022
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Provider Practice Location Address
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Address Line | 1202 ANNAPOLIS RD STE I
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City | ODENTON
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State | MD
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Zip | 21113-1387
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Country | US
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Telephone | 410-305-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 NE 6TH TER
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City | GAINESVILLE
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State | FL
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Zip | 32601-3732
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Country | US
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Telephone | 207-400-6171
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02922
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License Number State | MD
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