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General NPI Number Information
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NPI Number | 1295873552
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Entity Type | Individual
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Provider Name | PAULA JO WINTERS MSN, CNM
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1218 W KILBOURN AVE SUITE 200
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City | MILWAUKEE
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State | WI
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Zip | 53233-1330
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Country | US
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Telephone | 414-287-1000
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Fax | 414-287-1014
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Provider Business Mailing Address
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Address Line | 4555 W SCHROEDER DR SUITE 170
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City | MILWAUKEE
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State | WI
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Zip | 53223-1475
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-3225
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 129425
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License Number State | WI
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