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General NPI Number Information
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NPI Number | 1912062381
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Entity Type | Organization
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Legal Business Name | STEVEN G. WINTHER, D.D.S.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 06/22/2008
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Provider Practice Location Address
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Address Line | 17 2ND ST SE
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City | ORTONVILLE
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State | MN
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Zip | 56278-1541
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Country | US
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Telephone | 320-839-2596
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Fax | 320-839-2154
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Provider Business Mailing Address
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Address Line | 17 2ND ST SE
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City | ORTONVILLE
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State | MN
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Zip | 56278-1541
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Country | US
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Telephone | 320-839-2596
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Fax | 320-839-2154
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN GEORGE WINTHER
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Credential | D.D.S.
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Telephone | 320-839-2596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9118
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License Number State | MN
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