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General NPI Number Information
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NPI Number | 1831615889
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Entity Type | Organization
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Legal Business Name | KATHLEEN WOODS NP-PSYCHIATRY PC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 2537 ROUTE 52 STE 11
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3231
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Country | US
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Telephone | 845-835-3002
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CRONISER DR
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6156
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Country | US
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Telephone | 845-835-3002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN WOODS
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Credential | NPP
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Telephone | 845-835-3002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NY
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