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General NPI Number Information
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NPI Number | 1003351958
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Entity Type | Individual
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Provider Name | ALICIA WINFIELD RN, MSN, CDE
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Gender | Female
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Dates
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Enumeration Date | 01/02/2017
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Last Update Date | 01/02/2017
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Provider Practice Location Address
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Address Line | 2000 FOUNDATION WAY SUITE 3800
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City | MARTINSBURG
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State | WV
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Zip | 25401-9003
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Country | US
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Telephone | 304-596-6839
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Fax | 304-596-5799
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Provider Business Mailing Address
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Address Line | 2000 FOUNDATION WAY SUITE 3800
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City | MARTINSBURG
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State | WV
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Zip | 25401-9003
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Country | US
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Telephone | 304-596-6839
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Fax | 304-596-5799
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 023261
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License Number State | WV
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