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General NPI Number Information
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NPI Number | 1942098850
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Entity Type | Organization
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Legal Business Name | K. LAUREN DE WINTER MD
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2888 LONG BEACH BLVD STE 325
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City | LONG BEACH
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State | CA
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Zip | 90806-7503
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Country | US
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Telephone | 562-426-4904
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Fax |
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Provider Business Mailing Address
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Address Line | 2888 LONG BEACH BLVD STE 325
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City | LONG BEACH
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State | CA
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Zip | 90806-7503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARA LAUREN DE WINTER
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Credential | MD
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Telephone | 562-426-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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