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General NPI Number Information
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NPI Number | 1801533179
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Entity Type | Individual
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Provider Name | WINNIE J BOSIRE
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 100 N HOWARD ST STE W
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 817-225-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 E DEBBIE LN STE 102
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City | MANSFIELD
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State | TX
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Zip | 76063-3376
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Country | US
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Telephone | 214-210-2846
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1075225
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1075225
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61528370
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License Number State | WA
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