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General NPI Number Information
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NPI Number | 1912420894
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Entity Type | Individual
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Provider Name | LINDA S WININGER
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Gender | Female
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 07/21/2017
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Provider Practice Location Address
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Address Line | 930 W HILL FIELD RD
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City | LAYTON
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State | UT
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Zip | 84041-4662
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Country | US
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Telephone | 801-336-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 521 W 300 S
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City | LAYTON
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State | UT
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Zip | 84041-5226
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Country | US
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Telephone | 801-558-6799
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9466287-3502
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License Number State | UT
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