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General NPI Number Information
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NPI Number | 1033027644
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Entity Type | Individual
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Provider Name | WINCHESTER CODY WILEY APRN
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Gender | Male
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1222 DEMONBREUN ST STE 1601
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City | NASHVILLE
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State | TN
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Zip | 37203-7092
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Country | US
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Telephone | 855-768-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 RUSE ST
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City | AMARILLO
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State | TX
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Zip | 79118-0089
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Country | US
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Telephone | 855-768-6363
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 92087
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1248029
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License Number State | TX
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