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General NPI Number Information
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NPI Number | 1700398005
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Entity Type | Individual
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Provider Name | ANDREKA WINSTON
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 170 HEALTH CARE DRIVE
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City | HAUGHTON
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State | LA
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Zip | 71037
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Country | US
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Telephone | 318-706-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 719 WESTON ST
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City | MINDEN
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State | LA
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Zip | 71055-3661
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Country | US
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Telephone | 318-707-3330
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 214426
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 214426
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License Number State | LA
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