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General NPI Number Information
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NPI Number | 1174659130
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Entity Type | Organization
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Legal Business Name | ROWLAND WINN DBA WINN MEDICAL SUPPLY
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 205 E BAKER ST
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City | BROWNWOOD
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State | TX
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Zip | 76801
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Country | US
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Telephone | 325-646-8100
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Fax | 325-646-2408
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | BROWNWOOD
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State | TX
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Zip | 76804-0446
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Country | US
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Telephone | 325-646-8100
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Fax | 325-646-2408
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Authorized Official
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Title or Position | OWNER
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Name | ROWLAND WINN
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Credential |
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Telephone | 325-646-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0087766
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License Number State | TX
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