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General NPI Number Information
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NPI Number | 1295210458
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Entity Type | Individual
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Provider Name | KATHERYN ELIZABETH WINSLOW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 123 NW 13TH ST STE 300A
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City | BOCA RATON
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State | FL
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Zip | 33432-1624
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Country | US
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Telephone | 561-261-9388
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Fax |
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Provider Business Mailing Address
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Address Line | 4145 PINELLA CIR APT 364
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6744
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Country | US
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Telephone | 386-795-4169
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16260
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License Number State | FL
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