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General NPI Number Information
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NPI Number | 1316808827
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Entity Type | Organization
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Legal Business Name | WINPB
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 930 DICKENS PL
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1864
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Country | US
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Telephone | 561-484-4136
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Fax | 214-617-0486
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Provider Business Mailing Address
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Address Line | 930 DICKENS PL
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1864
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Country | US
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Telephone | 561-484-4136
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Fax | 214-617-0486
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Authorized Official
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Title or Position | OWNER
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Name | WIN SI THU
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Credential | MD
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Telephone | 561-484-4136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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