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General NPI Number Information
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NPI Number | 1316359961
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Entity Type | Organization
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Legal Business Name | WINFORD BROWN RAMSEUR & ASSOC
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 132 COURT ST
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City | STATESVILLE
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State | NC
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Zip | 28677-5803
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Country | US
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Telephone | 980-223-2084
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Fax | 336-464-2071
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Provider Business Mailing Address
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Address Line | 4680 BROWNSBORO RD # D
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3428
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Country | US
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Telephone | 336-896-9771
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LATRINA D WINFORD
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Credential | LPCS
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Telephone | 336-896-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-034-265
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License Number State | NC
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