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General NPI Number Information
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NPI Number | 1730676164
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Entity Type | Individual
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Provider Name | KATHLEEN ELIZABETH WOODS D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 501 HOWARD AVE STE F2 ALTOONA FAMILY PHYSICIANS
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City | ALTOONA
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State | PA
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Zip | 16601-4818
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Country | US
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Telephone | 814-889-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 501 HOWARD AVE STE F4
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City | ALTOONA
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State | PA
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Zip | 16601-4818
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Country | US
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Telephone | 814-889-2701
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 83479
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS020392
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License Number State | PA
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