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General NPI Number Information
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NPI Number | 1568610020
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Entity Type | Organization
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Legal Business Name | WINSTON T CAPEL,M.D.,PA
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 106 HIGHLAND WAY SUITE 104
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City | MADISON
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State | MS
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Zip | 39110-6929
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Country | US
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Telephone | 601-707-5105
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Fax | 601-707-5109
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Provider Business Mailing Address
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Address Line | 106 HIGHLAND WAY SUITE 104
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City | MADISON
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State | MS
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Zip | 39110-6929
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Country | US
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Telephone | 601-707-5105
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Fax | 601-707-5109
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Authorized Official
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Title or Position | OWNER
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Name | WINSTON T CAPEL
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Credential | M.D.
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Telephone | 601-707-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 13250
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License Number State | MS
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