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General NPI Number Information
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NPI Number | 1629441571
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Entity Type | Organization
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Legal Business Name | W.I.N.G.S., LLC
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Dates
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Enumeration Date | 11/01/2015
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Last Update Date | 08/13/2016
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Provider Practice Location Address
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Address Line | 6584 LANDOVER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34608-1313
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Country | US
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Telephone | 352-585-3351
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Fax | 352-596-6141
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Provider Business Mailing Address
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Address Line | 6584 LANDOVER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34608-1313
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Country | US
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Telephone | 352-585-3351
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Fax | 352-596-6141
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH LAMENDOLA
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Credential |
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Telephone | 352-585-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | FL
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