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General NPI Number Information
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NPI Number | 1821028226
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Entity Type | Individual
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Provider Name | REBECCA CHLOE WINOKUR MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 44 S MAIN ST
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City | RANDOLPH
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State | VT
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Zip | 05060-1381
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Country | US
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Telephone | 802-728-2445
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Fax | 802-728-2115
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Provider Business Mailing Address
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Address Line | PO BOX 2000
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City | RANDOLPH
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State | VT
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Zip | 05060-2000
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Country | US
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Telephone | 802-862-3983
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Fax | 802-278-2445
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 42-0010465
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License Number State | VT
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