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General NPI Number Information
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NPI Number | 1225002678
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Entity Type | Individual
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Provider Name | CYNTHIA JOAN WINKELJOHN P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 401 N VALLEY PKWY STE 380
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City | LEWISVILLE
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State | TX
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Zip | 75067-3921
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Country | US
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Telephone | 972-353-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 SARAH SPRINGS TRL
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City | FLOWER MOUND
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State | TX
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Zip | 75022-6159
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Country | US
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Telephone | 901-854-8995
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000005000
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1179238
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License Number State | TX
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