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General NPI Number Information
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NPI Number | 1578690715
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Entity Type | Organization
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Legal Business Name | ELAINE M WINTER DDS INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 914 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503
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Country | US
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Telephone | 937-323-0522
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Fax | 937-323-0791
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Provider Business Mailing Address
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Address Line | 914 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503
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Country | US
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Telephone | 937-323-0522
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Fax | 937-323-0791
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELAINE MARIE WINTER
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Credential | DDS
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Telephone | 937-323-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18304
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License Number State | OH
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