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General NPI Number Information
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NPI Number | 1437407236
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Entity Type | Organization
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Legal Business Name | WINDWARD HEALTHCARE CENTER LLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 3225 N POINT PKWY STE 101
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City | ALPHARETTA
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State | GA
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Zip | 30005-4726
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Country | US
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Telephone | 678-566-3030
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Fax | 678-566-3035
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Provider Business Mailing Address
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Address Line | 3225 NORTH POINT PKWY. , ALPHARETTA SUITE 101
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City | ALPHARETTA
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State | GA
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Zip | 30005
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Country | US
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Telephone | 678-566-3030
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Fax | 678-566-3035
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Authorized Official
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Title or Position | OWNER / CLINIC DIRECTOR
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Name | DR. JEFFREY L LUBOW
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Credential | D.C.
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Telephone | 678-566-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | GA
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