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General NPI Number Information
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NPI Number | 1801515770
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Entity Type | Individual
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Provider Name | DEVON WOODLEY DNP, ARNP
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Gender | Male
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 10 ROS CIR
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City | REPUBLIC
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State | WA
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Zip | 99166-5002
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Country | US
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Telephone | 509-775-3153
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Fax | 509-775-8929
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Provider Business Mailing Address
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Address Line | 10 ROS CIR
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City | REPUBLIC
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State | WA
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Zip | 99166-5002
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Country | US
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Telephone | 509-775-3153
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP70006038
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61340156
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License Number State | WA
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