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General NPI Number Information
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NPI Number | 1912375080
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Entity Type | Individual
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Provider Name | PAMELA JO WOOSTER RDN, MED, CDE
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Gender | Female
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 3001 S LINCOLN AVE STE A
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1790
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Country | US
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Telephone | 970-875-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 CENTRAL PARK DR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8813
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Country | US
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Telephone | 970-870-1048
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Fax | 970-871-2455
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 817360
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 817360
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License Number State |
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