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General NPI Number Information
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NPI Number | 1255718417
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Entity Type | Individual
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Provider Name | SHIRA WINTERS M.D.
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Gender |
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 05/04/2024
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Provider Practice Location Address
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Address Line | 2100 MILITARY RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-1736
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Country | US
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Telephone | 716-513-0537
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MILITARY RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-1736
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Country | US
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Telephone |
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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 | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 288268
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License Number State | NY
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