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General NPI Number Information
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NPI Number | 1215443155
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Entity Type | Individual
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Provider Name | MICHAEL WINKLER RN
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Gender | Male
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 1651 OLD MEADOW RD STE 100
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City | MC LEAN
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State | VA
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Zip | 22102-4308
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Country | US
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Telephone | 703-506-0123
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Fax | 703-734-1932
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Provider Business Mailing Address
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Address Line | 4900 SHERIDAN ST
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City | RIVERDALE
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State | MD
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Zip | 20737-1128
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Country | US
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Telephone | 443-679-8702
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R206162
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License Number State | MD
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