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General NPI Number Information
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NPI Number | 1497004766
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Entity Type | Individual
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Provider Name | JANNIS B WINSTEAD P.T, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2012
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 907 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10460-4301
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Country | US
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Telephone | 718-589-9588
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Fax | 718-589-9589
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Provider Business Mailing Address
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Address Line | 174 GRAND ST
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4803
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Country | US
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Telephone | 914-328-8077
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Fax | 914-328-6083
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 033308-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 033308-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 033308-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 033308-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 033308-1
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License Number State | NY
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