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General NPI Number Information
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NPI Number | 1861913063
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Entity Type | Individual
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Provider Name | ELAINE P WINSLOW-REDMOND
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 1260 AVENUE OF THE AMERICAS
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City | NEW YORK
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State | NY
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Zip | 10020-1701
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Country | US
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Telephone | 212-485-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 207 SEWARD ST
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City | BUCHANAN
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State | NY
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Zip | 10511-1524
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Country | US
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Telephone | 914-737-7909
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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