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General NPI Number Information
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NPI Number | 1497605315
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Entity Type | Individual
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Provider Name | JENNIFER WINTER
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5844 SW LOOP 820 # 138
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City | FORT WORTH
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State | TX
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Zip | 76132-1868
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Country | US
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Telephone | 262-758-7187
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Fax |
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Provider Business Mailing Address
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Address Line | 520 NW JAYELLEN AVE
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City | BURLESON
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State | TX
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Zip | 76028-5256
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Country | US
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Telephone | 262-758-7187
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 1011215
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License Number State | TX
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