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General NPI Number Information
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NPI Number | 1750772950
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Entity Type | Individual
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Provider Name | JILL WINFIELD LMT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 1820 S WESTNEDGE AVE STE 2
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City | KALAMAZOO
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State | MI
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Zip | 49008-1998
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Country | US
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Telephone | 586-873-1537
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Fax |
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Provider Business Mailing Address
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Address Line | 4164 W CENTRE AVE APT 104
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City | PORTAGE
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State | MI
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Zip | 49024-4660
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Country | US
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Telephone | 586-873-1537
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501011850
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License Number State | MI
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