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General NPI Number Information
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NPI Number | 1518286418
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Entity Type | Organization
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Legal Business Name | WINSLOW MEDICAL CENTER, INC
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 4002 BURKE RD
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City | PASADENA
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State | TX
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Zip | 77504-3451
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Country | US
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Telephone | 281-606-2020
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Fax | 280-606-2021
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Provider Business Mailing Address
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Address Line | 4002 BURKE RD
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City | PASADENA
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State | TX
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Zip | 77504-3451
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Country | US
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Telephone | 281-606-2020
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Fax | 280-606-2021
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RAY EUGENE WARREN
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Credential | M.D
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Telephone | 281-360-7502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D4453
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License Number State | TX
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