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General NPI Number Information
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NPI Number | 1629033063
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Entity Type | Individual
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Provider Name | DIANA WINSLOW MSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 1607 N.E. 23RD STREET
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-3243
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Country | US
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Telephone | 405-203-6976
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Fax | 405-535-5835
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Provider Business Mailing Address
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Address Line | 14901 NORTH PENNSYLVANIA AVENUE SUITE #222-B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-6074
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Country | US
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Telephone | 405-203-6976
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20996
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License Number State | OK
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