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General NPI Number Information
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NPI Number | 1760697825
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Entity Type | Organization
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Legal Business Name | MICHAEL S. WINSTON, M.D. A.M.C.
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 5135 ENCINO AVE
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City | ENCINO
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State | CA
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Zip | 91316-2523
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Country | US
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Telephone | 818-788-9990
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Fax | 818-788-9991
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Provider Business Mailing Address
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Address Line | 5135 ENCINO AVE
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City | ENCINO
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State | CA
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Zip | 91316-2523
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Country | US
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Telephone | 818-788-9990
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Fax | 818-788-9991
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL S WINSTON
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Credential | M.D.
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Telephone | 818-788-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G20812
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License Number State | CA
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