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General NPI Number Information
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NPI Number | 1144671819
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Entity Type | Individual
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Provider Name | DEBORAH WINSTON
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 24885 WHITEWOOD RD STE 105
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City | MURRIETA
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State | CA
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Zip | 92563-2014
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Country | US
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Telephone | 951-698-8558
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Fax | 951-698-8883
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Provider Business Mailing Address
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Address Line | 5870 ARLINGTON AVE STE 103
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City | RIVERSIDE
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State | CA
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Zip | 92504-2037
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Country | US
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Telephone | 951-683-6596
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Fax | 951-683-4239
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 95-2833715
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License Number State | CA
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