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General NPI Number Information
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NPI Number | 1780240051
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Entity Type | Individual
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Provider Name | VICTORIA ANN WOODRUFF
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 711 W 40TH ST STE 358
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City | BALTIMORE
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State | MD
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Zip | 21211-2111
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Country | US
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Telephone | 410-816-4097
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Fax | 484-805-7166
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Provider Business Mailing Address
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Address Line | 1115 BERNOUDY RD
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City | WHITE HALL
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State | MD
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Zip | 21161-9415
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Country | US
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Telephone | 443-827-5475
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MD
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