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General NPI Number Information
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NPI Number | 1093662520
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Entity Type | Individual
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Provider Name | KELLY MICHELLE WINTERS
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 300 CORPORATE BLVD S
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City | YONKERS
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State | NY
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Zip | 10701-6862
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Country | US
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Telephone | 833-637-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 274 MAPLE RD
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-1424
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Country | US
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Telephone | 845-213-0607
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 264478
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License Number State | NY
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