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General NPI Number Information
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NPI Number | 1871705657
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Entity Type | Individual
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Provider Name | WHITNEY ANNE WINKEL PTA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3405 CAMPBELL ST
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City | VALPARAISO
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State | IN
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Zip | 46385-2363
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Country | US
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Telephone | 219-462-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 LINDEN DR
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City | VALPARAISO
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State | IN
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Zip | 46383-2330
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Country | US
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Telephone | 219-548-8762
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06001659A
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License Number State | IN
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