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General NPI Number Information
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NPI Number | 1972995223
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Entity Type | Individual
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Provider Name | DENEEN RENEE WINANS DPT, OMPT, CSCS
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 23143 WOODWARD AVE.
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City | FERNDALE
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State | MI
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Zip | 48220-1361
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Country | US
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Telephone | 248-268-5742
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Fax | 248-336-0144
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone | 866-370-8206
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Fax | 517-435-3670
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 5501004885
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004885
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License Number State | MI
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