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NPI 1346424801

NPI 1346424801 : JAMIE L. WINTER OTR, CHT : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1346424801
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE L. WINTER OTR, CHT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/19/2007
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    Last Update Date     |    05/30/2018
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Provider Practice Location Address
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    Address Line         |    1825 FORTVIEW RD STE 103 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78704-7654
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    Country              |    US
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    Telephone            |    512-444-4263
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    Fax                  |    512-444-4264
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Provider Business Mailing Address
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    Address Line         |    PO BOX 684986 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78768-4986
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    Country              |    US
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    Telephone            |    512-444-4263
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    Fax                  |    512-444-4264
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    111819
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    111819
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    License Number State |    TX
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