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General NPI Number Information
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NPI Number | 1760632954
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Entity Type | Organization
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Legal Business Name | GROVER C WINSLOW MD PA
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 2285 WORTH ST
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City | HEMPHILL
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State | TX
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Zip | 75948-7217
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Country | US
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Telephone | 409-787-3520
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Fax | 409-787-1423
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Provider Business Mailing Address
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Address Line | 2285 WORTH ST
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City | HEMPHILL
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State | TX
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Zip | 75948-7217
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Country | US
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Telephone | 409-787-3520
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Fax | 409-787-1423
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Authorized Official
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Title or Position | PRESIDENT/ PHYSICIAN
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Name | DR. GROVER C WINSLOW
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Credential | M.D.
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Telephone | 409-787-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C3918
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License Number State | TX
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