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General NPI Number Information
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NPI Number | 1508234832
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Entity Type | Individual
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Provider Name | MARY ANNE WINSTANLEY LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 780 AMERICAN LEGION HWY
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City | ROSLINDALE
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State | MA
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Zip | 02131-3908
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Country | US
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Telephone | 857-303-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 12 BORNWOOD DR
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City | NORWOOD
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State | MA
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Zip | 02062-4506
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Country | US
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Telephone | 727-459-3943
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11406
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License Number State | MA
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