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General NPI Number Information
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NPI Number | 1679855217
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Entity Type | Individual
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Provider Name | ROBERT ALBERT WINTER III PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2931 CENTRAL CITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77551-1129
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Country | US
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Telephone | 409-740-2488
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Fax | 409-740-8320
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Provider Business Mailing Address
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Address Line | 5320 MEMORIAL DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3201
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Country | US
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Telephone | 404-508-7166
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Fax | 404-297-1716
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 53464
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License Number State | TX
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