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General NPI Number Information
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NPI Number | 1265350417
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Entity Type | Organization
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Legal Business Name | WINSTATE GROUP
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 39 BROAD ST
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City | THREE BRIDGES
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State | NJ
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Zip | 08887-9800
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Country | US
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Telephone | 908-318-4002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | THREE BRIDGES
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State | NJ
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Zip | 08887-0022
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Country | US
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Telephone | 908-318-4002
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Fax |
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Authorized Official
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Title or Position | SERVICES DIRECTOR
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Name | TAORIDI KASSIM
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Credential |
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Telephone | 908-318-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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