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General NPI Number Information
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NPI Number | 1205008570
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Entity Type | Individual
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Provider Name | MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 85 BULLDOG LANE WEST ALEXANDER MIDDLE SCHOOL
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-3354
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Country | US
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Telephone | 828-495-4611
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Fax | 828-495-3527
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Provider Business Mailing Address
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Address Line | 4970 HARBOR VIEW DRIVE WEST
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City | GRANITE FALLS
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State | NC
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Zip | 28630-8693
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Country | US
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Telephone | 828-310-4602
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 519
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License Number State | NC
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