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General NPI Number Information
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NPI Number | 1790595213
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Entity Type | Organization
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Legal Business Name | WOODFOREST RESTORATION AND WELLNESS, PLLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 126 SUGAR PINE CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-2472
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Country | US
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Telephone | 318-792-3864
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Fax |
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Provider Business Mailing Address
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Address Line | 126 SUGAR PINE CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-2472
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Country | US
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Telephone | 318-792-3864
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Fax |
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Authorized Official
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Title or Position | OWNER AND NURSE PRACTITIONER
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Name | LINDSAY ROSS
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Credential | FNP-C
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Telephone | 318-792-3864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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