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General NPI Number Information
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NPI Number | 1790189470
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Entity Type | Individual
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Provider Name | ANGELA WOODWARD
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Gender | Female
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 12800 E WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48215-2061
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Country | US
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Telephone | 947-957-1058
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Fax |
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Provider Business Mailing Address
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Address Line | 24230 KARIM BLVD
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-745-4900
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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 |
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