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General NPI Number Information
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NPI Number | 1295943546
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Entity Type | Individual
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Provider Name | ELAINE WINTER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 914 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-3612
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Country | US
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Telephone | 937-323-0522
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Fax | 937-323-0791
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Provider Business Mailing Address
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Address Line | 3543 HIGH POINT CT
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City | DAYTON
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State | OH
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Zip | 45440-3569
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Country | US
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Telephone | 937-320-0338
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 18304
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License Number State | OH
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