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General NPI Number Information
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NPI Number | 1225298730
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Entity Type | Individual
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Provider Name | SHENIKA DAKIA WINN L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 9002 SE BRIDGE RD SUITE 5
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City | HOBE SOUND
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State | FL
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Zip | 33455-5324
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Country | US
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Telephone | 772-324-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 SE MIMOSA ST
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City | STUART
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State | FL
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Zip | 34997-8549
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Country | US
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Telephone | 772-324-0949
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA39875
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License Number State | FL
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