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General NPI Number Information
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NPI Number | 1407935430
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Entity Type | Organization
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Legal Business Name | WINTER ENTERPRISES
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1103 W. SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360
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Country | US
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Telephone | 856-692-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S 6TH ST
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City | VINELAND
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State | NJ
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Zip | 08360-4605
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Country | US
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Telephone | 856-692-5530
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING INSURANCE
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Name | MRS. CHRISTINE VITIELLO
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Credential |
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Telephone | 856-692-5530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DI020601
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI019933
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI016756
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DI0227320
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DI02315500
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DI005987
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DI009211
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License Number State | NJ
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