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General NPI Number Information
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NPI Number | 1629239553
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Entity Type | Individual
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Provider Name | DANIEL ANDREW WINKLE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 13855 E 14TH ST
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2611
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Country | US
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Telephone | 510-895-4527
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Fax | 510-895-7241
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Provider Business Mailing Address
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Address Line | 7677 OAKPORT ST STE 1200
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City | OAKLAND
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State | CA
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Zip | 94621-1975
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Country | US
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Telephone | 510-437-4893
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Fax | 510-379-7440
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35094657
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | C163168
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License Number State | CA
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