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General NPI Number Information
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NPI Number | 1760007686
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Entity Type | Individual
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Provider Name | LAWANDA M WOOD DNP, APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 930 MAJESTIC AVE
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City | NORFOLK
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State | VA
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Zip | 23504-4055
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Country | US
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Telephone | 757-942-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ALICE ST
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City | CHESAPEAKE
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State | VA
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Zip | 23323-6101
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Country | US
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Telephone | 757-558-8157
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024179387
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License Number State | VA
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