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General NPI Number Information
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NPI Number | 1356063598
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Entity Type | Organization
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Legal Business Name | WINNER HEALTHCARE LLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 712 S OCEAN SHORE BLVD
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-3602
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Country | US
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Telephone | 386-871-1975
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Fax | 386-800-2929
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Provider Business Mailing Address
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Address Line | 712 S OCEAN SHORE BLVD
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-3602
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Country | US
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Telephone | 386-871-1975
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Fax | 386-800-2929
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | TARA WINNER
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Credential |
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Telephone | 386-681-8193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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