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General NPI Number Information
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NPI Number | 1811076417
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Entity Type | Individual
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Provider Name | JULIE WOODBURY CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 2323 WIRT RD STE F8
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City | HOUSTON
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State | TX
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Zip | 77055-1232
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Country | US
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Telephone | 713-467-4900
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Fax | 713-467-6006
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Provider Business Mailing Address
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Address Line | 2323 WIRT RD STE F8
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City | HOUSTON
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State | TX
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Zip | 77055-1232
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Country | US
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Telephone | 713-467-4900
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Fax | 137-467-6006
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 663926
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP115181
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License Number State | TX
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