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NPI 1962936294

NPI 1962936294 : EMILY M WOODS D.O. : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1962936294
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY M WOODS D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2017
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    2315 MYRTLE ST STE G30 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-4610
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    Country              |    US
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    Telephone            |    814-452-5514
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    Fax                  |    814-452-5504
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Provider Business Mailing Address
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    Address Line         |    2315 MYRTLE ST STE G30 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-4610
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    Country              |    US
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    Telephone            |    814-452-5514
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    Fax                  |    814-452-5504
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    34.015130
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    OD025284
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    License Number State |    PA
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