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General NPI Number Information
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NPI Number | 1538586847
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Entity Type | Individual
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Provider Name | QUINNESHA WINTERS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 602 REESE LN
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City | GREENVILLE
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State | SC
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Zip | 29617-1980
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Country | US
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Telephone | 864-729-2414
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Fax |
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Provider Business Mailing Address
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Address Line | 226 FAVERSHAM LN
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City | COLUMBIA
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State | SC
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Zip | 29229-7383
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Country | US
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Telephone | 843-499-0725
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P14561
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 7018
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License Number State | SC
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