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General NPI Number Information
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NPI Number | 1386693976
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Entity Type | Individual
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Provider Name | LANCE WINTER DO
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 01/29/2023
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Provider Practice Location Address
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Address Line | 20401 N 73RD ST STE 140
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4148
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Country | US
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Telephone | 602-923-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 20401 N 73RD ST STE 140
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4148
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Country | US
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Telephone | 602-923-8500
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | P7228
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | OS13477
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 4408
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License Number State | AZ
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