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General NPI Number Information
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NPI Number | 1831915222
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Entity Type | Organization
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Legal Business Name | DR. LUCINDA WOODWARD, LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3358 W VINCENNES TRL
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City | SALEM
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State | IN
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Zip | 47167-8211
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Country | US
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Telephone | 812-844-3918
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Fax | 812-901-6204
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Provider Business Mailing Address
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Address Line | 3358 W VINCENNES TRL
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City | SALEM
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State | IN
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Zip | 47167-8211
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Country | US
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Telephone | 812-844-3918
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Fax | 812-901-6204
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | DR. LUCINDA WOODWARD
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Credential | PH.D.
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Telephone | 812-844-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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