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General NPI Number Information
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NPI Number | 1245312198
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Entity Type | Individual
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Provider Name | SANDRA M WINTERS BSN MSN APN C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1412 MARLTON PIKE E HCR MANORCARE
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2230
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Country | US
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Telephone | 856-428-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 41 PAUL RD
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City | MAPLE SHADE
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State | NJ
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Zip | 08052-3315
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Country | US
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Telephone | 856-663-4954
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NO057015
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License Number State | NJ
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