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General NPI Number Information
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NPI Number | 1104537505
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE VAN WINKLE NP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR STE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3711
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Country | US
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Telephone | 210-698-0742
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Fax | 210-233-9280
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Provider Business Mailing Address
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Address Line | PO BOX 2484
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City | BOERNE
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State | TX
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Zip | 78006-1415
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Country | US
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Telephone | 210-363-0381
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Fax | 830-331-2475
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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