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General NPI Number Information
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NPI Number | 1699828657
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER L WINSLOW MD PA
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 400 S COLLEGE ST SUITE # 2
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3923
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Country | US
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Telephone | 870-508-2646
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Fax | 870-508-2644
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Provider Business Mailing Address
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Address Line | 400 S COLLEGE ST SUITE # 2
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3923
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Country | US
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Telephone | 870-508-2646
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Fax | 870-508-2644
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER LLOYD WINSLOW
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Credential | MD
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Telephone | 870-508-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | E 4224
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License Number State | AR
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