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General NPI Number Information
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NPI Number | 1932093457
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Entity Type | Organization
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Legal Business Name | WINDING ROADS PSYCHIATRY LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1211 YONKERS ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-4861
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Country | US
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Telephone | 806-685-0214
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Fax | 806-905-6618
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Provider Business Mailing Address
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Address Line | 3223 S LOOP 289 STE 600
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City | LUBBOCK
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State | TX
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Zip | 79423-1372
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Country | US
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Telephone | 806-230-5375
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Fax |
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Authorized Official
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Title or Position | FNP-C, PMHNP-BC
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Name | JULIA MARIE ONTIVEROS
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Credential | APRN
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Telephone | 806-685-0214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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