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General NPI Number Information
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NPI Number | 1003773623
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Entity Type | Individual
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Provider Name | TATUM KAY WINDER
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 411 W 1325 N
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City | CEDAR CITY
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State | UT
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Zip | 84721-7720
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Country | US
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Telephone | 435-586-6481
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Fax |
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Provider Business Mailing Address
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Address Line | 276 N 800 W APT 4
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City | CEDAR CITY
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State | UT
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Zip | 84721-4325
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Country | US
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Telephone |
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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 | 226000000X
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Taxonomy Name | Recreational Therapist Assistant
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License Number | 227962230
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License Number State | UT
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