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General NPI Number Information
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NPI Number | 1538031554
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Entity Type | Individual
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Provider Name | WINSTIN JOSEPH LPN
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Gender | Male
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1434 BLOSSOM BAYOU CIR
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City | RUSKIN
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State | FL
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Zip | 33570-4828
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Country | US
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Telephone | 813-591-5074
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 BALAYE VISTA CIR APT 303
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City | TAMPA
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State | FL
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Zip | 33619-7602
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Country | US
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Telephone | 786-224-8234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5248555
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License Number State | FL
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