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General NPI Number Information
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NPI Number | 1275518656
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Entity Type | Individual
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Provider Name | LOUIS CHESTER WINSKOWSKI JR. CERTIFIED PEDORTHIST
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 50 14TH AVE E STE 114
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City | SARTELL
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State | MN
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Zip | 56377-4653
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Country | US
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Telephone | 320-656-1363
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Fax | 320-656-0916
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Provider Business Mailing Address
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Address Line | 6370 NE RIVER RD
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City | SAUK RAPIDS
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State | MN
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Zip | 56379-9316
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Country | US
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Telephone | 320-656-1363
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Fax | 320-656-0916
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number |
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License Number State |
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