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General NPI Number Information
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NPI Number | 1497573729
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Entity Type | Organization
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Legal Business Name | WIN HEALTH SERVICES
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 N SUITE 117
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 201-442-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 501 N RTE 17 STE 1
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City | PARAMUS
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State | NJ
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Zip | 07652-3000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA ITONDO
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Credential | ARNP
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Telephone | 201-927-3785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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