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General NPI Number Information
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NPI Number | 1336570860
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Entity Type | Organization
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Legal Business Name | R WINTERS PLLC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 2007 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560
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Country | US
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Telephone | 252-634-6360
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Fax | 252-634-6364
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Provider Business Mailing Address
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Address Line | 393 RIVER ISLAND RD
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City | NEW BERN
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State | NC
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Zip | 28562
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Country | US
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Telephone | 252-658-0508
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Fax | 252-772-8240
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD WINTERS
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Credential | M.D
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Telephone | 252-658-0508
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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 | 12936
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License Number State | NC
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