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General NPI Number Information
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NPI Number | 1326625625
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Entity Type | Individual
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Provider Name | WIN SI THU
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Gender | Male
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5301 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1149
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Country | US
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Telephone | 561-965-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 S CONGRESS AVE STE C
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City | PALM SPRINGS
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State | FL
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Zip | 33406-5114
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Country | US
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Telephone | 561-766-1300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME167281
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 167281
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License Number State | FL
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