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General NPI Number Information
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NPI Number | 1043334196
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Entity Type | Individual
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Provider Name | LYNN WINSTEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 10/12/2008
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Provider Practice Location Address
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Address Line | 1664 SOLANO AVE 12
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City | ALBANY
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State | CA
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Zip | 94707-2118
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Country | US
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Telephone | 510-526-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 262 PURDUE AVE
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City | KENSINGTON
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State | CA
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Zip | 94708-1137
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Country | US
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Telephone | 510-527-5359
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY11304
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License Number State | CA
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