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General NPI Number Information
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NPI Number | 1801372628
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Entity Type | Individual
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Provider Name | ROSA WOODRUFF FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1805 HOBBS RD
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City | AUBURNDALE
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State | FL
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Zip | 33823-4644
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Country | US
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Telephone | 863-965-5400
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Fax | 863-965-3739
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Provider Business Mailing Address
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Address Line | PO BOX 850
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City | WHITE CLOUD
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State | MI
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Zip | 49349-0850
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704292432
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License Number State | MI
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