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General NPI Number Information
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NPI Number | 1215657119
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Entity Type | Individual
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Provider Name | WINTER DUNNINGTON POWERS III LMSW- MARYLAND
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1485 STILL MEADOW BOULEVARD #3
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City | SALISBURY
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State | MD
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Zip | 21804
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Country | US
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Telephone | 410-812-4405
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Fax |
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Provider Business Mailing Address
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Address Line | 23493 DEAL ISLAND RD
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City | DEAL ISLAND
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State | MD
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Zip | 21821-1823
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Country | US
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Telephone | 443-366-5255
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29112
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License Number State | MD
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