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General NPI Number Information
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NPI Number | 1598987349
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Entity Type | Individual
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Provider Name | JUDY WINREB MA, MFT, LADC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD # D
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 702-362-0860
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Fax | 702-835-9301
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-2540
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Country | US
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Telephone | 702-362-0860
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Fax | 702-835-9301
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0716
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License Number State | NV
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