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General NPI Number Information
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NPI Number | 1982981528
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Entity Type | Individual
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Provider Name | ALEXIS NICOLE WOODWARD BS ED
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Gender | Female
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 111 ELWYN RD
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City | ELWYN
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State | PA
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Zip | 19063-4622
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Country | US
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Telephone | 610-891-2563
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Fax | 610-891-2663
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Provider Business Mailing Address
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Address Line | 111 ELWYN RD
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City | ELWYN
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State | PA
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Zip | 19063-4622
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Country | US
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Telephone | 610-891-2563
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Fax | 610-891-2663
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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