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NPI 1740856301

NPI 1740856301 : JAMI WOODS MFT : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1740856301
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    Entity Type          |    Individual 
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    Provider Name        |    JAMI WOODS MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2021
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    Last Update Date     |    11/08/2022
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Provider Practice Location Address
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    Address Line         |    1283 E LE PARC DR 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-4017
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    Country              |    US
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    Telephone            |    559-385-5077
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 217 
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    City                 |    CARUTHERS
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    State                |    CA
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    Zip                  |    93609-0217
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    Country              |    US
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    Telephone            |    559-385-5077
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    134678
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    License Number State |    CA
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