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General NPI Number Information
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NPI Number | 1972593960
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Entity Type | Individual
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Provider Name | DEBRA JAMES WYNTER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 500 N GEORGIE AVE
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City | DERBY
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State | KS
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Zip | 67037-1706
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Country | US
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Telephone | 316-558-3993
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Fax |
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Provider Business Mailing Address
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Address Line | 2704 N BLUESTONE CIR
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City | ANDOVER
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State | KS
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Zip | 67002-7632
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Country | US
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Telephone | 316-616-8235
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 61111
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019-026460
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License Number State | IL
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