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General NPI Number Information
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NPI Number | 1275522112
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Entity Type | Organization
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Legal Business Name | FAIRWINDS PROPERTIES, INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1569 S FORT HARRISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-2004
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Country | US
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Telephone | 727-449-0300
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Fax | 727-467-0438
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Provider Business Mailing Address
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Address Line | 1569 S FORT HARRISON AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-2004
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Country | US
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Telephone | 727-449-0300
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Fax | 727-467-0438
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Authorized Official
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Title or Position | A/R COORDINATOR
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Name | MS. LEAH A KELTER
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Credential |
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Telephone | 727-449-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 8609
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 8609
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License Number State | FL
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