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General NPI Number Information
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NPI Number | 1588975122
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Entity Type | Organization
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Legal Business Name | DAVID B WINTER, DO, PC
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 927 N KENMORE ST
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City | ARLINGTON
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State | VA
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Zip | 22201-2226
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Country | US
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Telephone | 703-524-7728
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Fax | 703-524-4577
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Provider Business Mailing Address
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Address Line | 927 N KENMORE ST
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City | ARLINGTON
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State | VA
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Zip | 22201-2226
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Country | US
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Telephone | 703-524-7728
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Fax | 703-524-4577
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | DAVID BROOKS WINTER
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Credential | D.O.
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Telephone | 703-524-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0102034822
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License Number State | VA
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