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General NPI Number Information
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NPI Number | 1629660139
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Entity Type | Organization
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Legal Business Name | WINSTON CARES LLC
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 9035 LEWIS AVE
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City | TEMPERANCE
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State | MI
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Zip | 48182-1609
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Country | US
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Telephone | 343-445-5777
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Fax | 734-244-5353
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Provider Business Mailing Address
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Address Line | PO BOX 611
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City | TEMPERANCE
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State | MI
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Zip | 48182-0611
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Country | US
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Telephone | 734-344-5577
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Fax | 734-244-5353
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Authorized Official
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Title or Position | OWNER
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Name | STACY GAMEL
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Credential |
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Telephone | 734-344-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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