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General NPI Number Information
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NPI Number | 1659941805
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Entity Type | Individual
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Provider Name | JESSICA WINCE
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 3333 N. CALVERT ST SUITE 680
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City | BALTIMORE
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-889-0795
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Fax |
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Provider Business Mailing Address
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Address Line | 1220A E JOPPA RD STE 230D
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City | TOWSON
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State | MD
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Zip | 21286-5812
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Country | US
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Telephone | 410-889-0795
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01562
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License Number State | MD
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