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General NPI Number Information
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NPI Number | 1215082748
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Entity Type | Individual
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Provider Name | CAROLE ANNE WINSTON PHD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 831 BAXTER ST 220
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City | CHARLOTTE
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State | NC
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Zip | 28202-2887
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Country | US
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Telephone | 704-373-9919
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Fax |
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Provider Business Mailing Address
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Address Line | 9238 KESTRAL RIDGE DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-6169
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Country | US
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Telephone | 704-992-1020
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Fax | 336-750-2699
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003886
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License Number State | NC
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