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General NPI Number Information
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NPI Number | 1104025048
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Entity Type | Organization
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Legal Business Name | WINN COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 431 W LAFAYETTE ST
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City | WINNFIELD
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State | LA
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Zip | 71483-3463
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Country | US
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Telephone | 318-648-0375
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Fax | 318-648-0378
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Provider Business Mailing Address
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Address Line | PO BOX 1288
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City | WINNFIELD
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State | LA
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Zip | 71483-1288
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Country | US
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Telephone | 318-648-0375
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Fax | 318-648-0378
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVEN XUAN NGUYEN
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Credential | M.D
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Telephone | 318-648-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD 204738
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License Number State | LA
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