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General NPI Number Information
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NPI Number | 1407742927
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Entity Type | Organization
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Legal Business Name | WINNIE COMMUNITY HOSPITAL LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2685 BROADWAY ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1907
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Country | US
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Telephone | 409-296-6000
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Fax | 409-296-6326
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Provider Business Mailing Address
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Address Line | 538 BROADWAY
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City | WINNIE
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State | TX
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Zip | 77665-7600
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Country | US
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Telephone | 409-296-6000
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Fax | 409-296-6372
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ASAD ULLAH
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Credential |
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Telephone | 409-203-2573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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