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General NPI Number Information
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NPI Number | 1881110559
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Entity Type | Individual
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Provider Name | MICHELLE LEIGH WOOD NP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 7810 BALLANTYNE PARKWAY STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277
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Country | US
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Telephone | 704-342-0252
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Fax | 980-533-7801
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Provider Business Mailing Address
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Address Line | 7810 BALLANTYNE COMMONS PKWY STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-3416
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Country | US
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Telephone | 704-342-0252
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Fax | 980-533-7806
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5011331
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5011331
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 21168
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License Number State | SC
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