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General NPI Number Information
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NPI Number | 1730299801
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Entity Type | Individual
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Provider Name | DEBORAH JEAN WOODARD RN, MS, ANP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 950 W MAGNOLIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-336-5060
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Fax | 817-336-1744
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Provider Business Mailing Address
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Address Line | 950 W MAGNOLIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-336-5060
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Fax | 817-336-1744
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 679804
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License Number State | TX
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