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General NPI Number Information
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NPI Number | 1427579846
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Entity Type | Organization
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Legal Business Name | WINN'S TRANQUILITY SERVICES
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 7079 ALTA VISTA DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2772
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Country | US
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Telephone | 313-319-7079
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Fax | 313-319-7079
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Provider Business Mailing Address
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Address Line | PO BOX 252193
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48325-2193
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Country | US
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Telephone | 313-319-7079
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Fax | 248-313-9573
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VERITA LAURA WINN
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Credential | LMSW
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Telephone | 313-319-7079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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