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General NPI Number Information
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NPI Number | 1184670390
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Entity Type | Individual
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Provider Name | MARY C WINSHIP CNP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 33355 HEALTH CAMPUS BLVD
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City | AVON
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State | OH
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Zip | 44011-1399
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Country | US
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Telephone | 440-937-9099
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Fax | 440-937-9755
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-6976
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Fax | 216-635-6428
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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 | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | RN131921
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 05993
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License Number State | OH
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