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General NPI Number Information
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NPI Number | 1750522660
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Entity Type | Individual
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Provider Name | NICOLAUS D WINTERS MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 700 KIMBER LANE
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City | EVANSVILLE
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State | IN
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Zip | 47715-2803
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Country | US
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Telephone | 812-476-7111
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Fax | 812-476-7117
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Provider Business Mailing Address
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Address Line | PO BOX 21890
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City | BELFAST
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State | ME
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Zip | 04915-4115
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Country | US
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Telephone | 502-409-9925
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Fax | 502-919-9780
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 46334
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036149268
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01074139
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License Number State | IN
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