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General NPI Number Information
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NPI Number | 1972804961
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Entity Type | Individual
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Provider Name | JEFFREY TODD WINTON N.M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 16515 S 40TH ST SUITE 129
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City | PHOENIX
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State | AZ
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Zip | 85048-0558
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Country | US
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Telephone | 480-704-1050
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Fax | 480-704-0109
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Provider Business Mailing Address
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Address Line | 16515 S 40TH ST SUITE 129
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City | PHOENIX
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State | AZ
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Zip | 85048-0558
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Country | US
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Telephone | 480-704-1050
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Fax | 480-704-0109
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 00-570
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License Number State | AZ
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