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General NPI Number Information
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NPI Number | 1336080464
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Entity Type | Organization
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Legal Business Name | WINNERS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 1800 N CHARLES ST STE 408
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City | BALTIMORE
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State | MD
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Zip | 21201-5909
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Country | US
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Telephone | 410-903-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 WINFIELDS LN
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City | GAMBRILLS
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State | MD
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Zip | 21054-1127
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUMOKE FADEKE OMISORE
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Credential |
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Telephone | 410-903-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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