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General NPI Number Information
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NPI Number | 1821031501
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Entity Type | Individual
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Provider Name | NANCY JEAN WOODS RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ST JOHN'S URGENT CARE CENTER 300 WINDING WOODS DRIVE SUITE 100
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City | O'FALLON
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State | MO
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Zip | 63366
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Country | US
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Telephone | 636-379-4329
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CATAMARAN DR
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-1345
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Country | US
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Telephone | 636-625-2702
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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 | 114312
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License Number State | MO
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