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General NPI Number Information
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NPI Number | 1992756472
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Entity Type | Individual
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Provider Name | NINA SKATTUM WINANS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 10710 DONNER PASS RD
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City | TRUCKEE
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State | CA
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Zip | 96161-4812
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Country | US
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Telephone | 530-582-7488
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Fax | 530-582-7489
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Provider Business Mailing Address
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Address Line | 14824 ALDER CREEK RD
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City | TRUCKEE
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State | CA
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Zip | 96161-6873
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Country | US
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Telephone | 530-582-5762
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | G71759
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | G71759
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License Number State | CA
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