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General NPI Number Information
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NPI Number | 1598091399
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Entity Type | Individual
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Provider Name | NICOLE HOWARD WINTERHALTER MA
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Gender | Female
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 1400 5TH STREET
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City | STATESVILLE
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State | NC
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Zip | 28677
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Country | US
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Telephone | 704-502-8164
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Fax |
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Provider Business Mailing Address
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Address Line | 133 WEE SKI WAY
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City | TROUTMAN
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State | NC
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Zip | 28166-7649
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Country | US
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Telephone | 704-502-8164
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2339
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License Number State | NC
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