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General NPI Number Information
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NPI Number | 1932090685
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Entity Type | Individual
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Provider Name | MADISON KATE WOODARD PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 10689 HARDIN VALLEY RD
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City | KNOXVILLE
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State | TN
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Zip | 37932-1504
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Country | US
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Telephone | 865-692-1220
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Fax | 833-908-2093
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Provider Business Mailing Address
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Address Line | PO BOX 26194
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City | BELFAST
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State | ME
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Zip | 04915-2012
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Country | US
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Telephone | 865-584-4747
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Fax | 833-908-0998
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6456
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License Number State | TN
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