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General NPI Number Information
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NPI Number | 1366715039
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Entity Type | Individual
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Provider Name | DAVID LEE WINFREY D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 745 GLYNN ST S
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2049
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Country | US
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Telephone | 770-599-1010
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Fax | 770-947-8973
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Provider Business Mailing Address
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Address Line | PO BOX 142705
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-6519
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Country | US
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Telephone | 770-599-1010
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Fax | 770-947-8973
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO008920
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License Number State | GA
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