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General NPI Number Information
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NPI Number | 1346964764
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Entity Type | Organization
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Legal Business Name | WINNFIELD PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 6252 HIGHWAY 167 N STE D
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City | WINNFIELD
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State | LA
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Zip | 71483-6072
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Country | US
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Telephone | 318-648-7482
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Fax | 318-582-3396
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Provider Business Mailing Address
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Address Line | PO BOX 255
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City | STONEWALL
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State | LA
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Zip | 71078-0255
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Country | US
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Telephone | 318-648-7482
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Fax | 318-582-3396
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Authorized Official
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Title or Position | DPT/PART OWNER
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Name | MR. WILLIAM D JAMES
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Credential | DPT
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Telephone | 318-470-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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