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General NPI Number Information
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NPI Number | 1194889048
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Entity Type | Organization
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Legal Business Name | WINDER ADULT PRIMARY CARE & WELLNESS INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 314 N BROAD ST STE. 350
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City | WINDER
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State | GA
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Zip | 30680-2191
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Country | US
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Telephone | 770-867-0455
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Fax | 770-867-3990
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Provider Business Mailing Address
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Address Line | 314 N BROAD ST STE. 350
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City | WINDER
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State | GA
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Zip | 30680-2191
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Country | US
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Telephone | 770-867-0455
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Fax | 770-867-3990
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KARLA SABRINA DUNBAR
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Credential | M.D.
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Telephone | 770-867-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 047589
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License Number State | GA
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