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General NPI Number Information
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NPI Number | 1881098176
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Entity Type | Individual
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Provider Name | DUSTIN WINKEL LICSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 2901 MONTOPOLIS DR
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City | AUSTIN
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State | TX
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Zip | 78741-6411
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Country | US
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Telephone | 512-978-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 5804 8TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1902
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Country | US
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Telephone | 202-362-1586
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 55822
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC20001422
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License Number State | DC
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