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General NPI Number Information
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NPI Number | 1578350054
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Entity Type | Individual
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Provider Name | HOLLY VAN WINTER
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 5480 WISCONSIN AVE STE 203
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City | BETHESDA
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State | MD
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Zip | 20815-3524
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Country | US
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Telephone | 301-807-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 HARVARD ST NW APT 4
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City | WASHINGTON
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State | DC
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Zip | 20009-4738
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Country | US
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Telephone | 205-240-3733
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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