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General NPI Number Information
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NPI Number | 1306446588
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Entity Type | Individual
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Provider Name | FELICITY LAURELL WINNETT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1904 S COLORADO ST
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City | LOCKHART
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State | TX
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Zip | 78644-3949
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Country | US
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Telephone | 512-398-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 536 W PRAIRIE LEA ST
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City | LOCKHART
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State | TX
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Zip | 78644-2623
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Country | US
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Telephone | 512-787-4208
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 34496
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License Number State | TX
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