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General NPI Number Information
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NPI Number | 1962562512
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Entity Type | Individual
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Provider Name | AMY JANELLE WOODS MPT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 W HIGH ST SUITE 112
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City | ELKTON
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State | MD
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Zip | 21921-5529
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Country | US
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Telephone | 410-392-7027
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Fax | 410-392-5768
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Provider Business Mailing Address
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Address Line | 157 WHITAKER AVE
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City | NORTH EAST
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State | MD
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Zip | 21901-2659
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Country | US
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Telephone | 410-287-8701
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21153
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0001841
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013487L
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License Number State | PA
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