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General NPI Number Information
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NPI Number | 1740243336
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Entity Type | Individual
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Provider Name | CARI LYNN WOOD ATC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 675 SW RIMROCK DR
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City | REDMOND
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State | OR
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Zip | 97756-1931
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Country | US
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Telephone | 541-504-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 NORTHWEST WAY
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City | REDMOND
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State | OR
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Zip | 97756-8749
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Country | US
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Telephone | 541-548-5769
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0821673285
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License Number State | OR
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