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General NPI Number Information
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NPI Number | 1649565227
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Entity Type | Individual
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Provider Name | JOSHUA PAUL WINTJE MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 5183 S LAREDO WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-4151
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Country | US
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Telephone | 706-224-0692
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Fax | 318-225-8243
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Provider Business Mailing Address
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Address Line | 5183 S LAREDO WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-4151
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Country | US
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Telephone | 706-224-0692
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Fax | 318-225-8243
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54528
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0054528
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License Number State | CO
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Taxonomy #3
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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 | TN
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0054528
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License Number State | CO
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