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General NPI Number Information
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NPI Number | 1255520706
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Entity Type | Organization
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Legal Business Name | WINDSOR WORKCARE
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 3100 WINDSOR COURT
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City | ELKHART
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State | IN
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Zip | 46514
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Country | US
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Telephone | 574-266-6555
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Fax | 574-266-6888
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Provider Business Mailing Address
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Address Line | 3100 WINDSOR COURT
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City | ELKHART
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State | IN
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Zip | 46514
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Country | US
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Telephone | 574-266-6555
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Fax | 574-266-6888
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MRS. TAMARA A COLLIER
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Credential |
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Telephone | 574-266-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 261QX0100X
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License Number State | IN
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