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General NPI Number Information
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NPI Number | 1952997876
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Entity Type | Individual
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Provider Name | BRENDAN DAVID WINTERS
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Gender | Male
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 1211 HEMINGWAY DR
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City | GREENSBURG
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State | PA
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Zip | 15601-9077
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Country | US
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Telephone | 724-961-4370
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 J D ANDERSON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 304-598-1200
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Fax | 304-598-1699
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 204844
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | WV-SE-1771
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | WV-SE-1771
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License Number State | WV
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