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General NPI Number Information
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NPI Number | 1790597953
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Entity Type | Organization
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Legal Business Name | WINCHESTER MEDICAL CENTER
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1870 AMHERST ST STE F
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City | WINCHESTER
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State | VA
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Zip | 22601-2841
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Country | US
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Telephone | 540-536-0010
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Fax | 540-536-0061
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-5100
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Fax |
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Authorized Official
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Title or Position | MANAGER INSURANCE CREDENTIALING
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Name | JILL CHAMBERS
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Credential |
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Telephone | 540-536-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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