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General NPI Number Information
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NPI Number | 1649346172
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Entity Type | Individual
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Provider Name | KAREN JEAN WINEGARNER D.O., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | MUNSON ARMY HEALTH CENTER 550 POPE AVENUE
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City | FORT LEAVENWORTH
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State | KS
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Zip | 66027
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Country | US
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Telephone | 913-684-6000
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Fax | 913-684-6441
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Provider Business Mailing Address
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Address Line | 550 POPE AVE
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City | FORT LEAVENWORTH
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State | KS
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Zip | 66027-2332
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Country | US
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Telephone |
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 3064
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 05-27522
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 111299
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License Number State | MO
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