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General NPI Number Information
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NPI Number | 1689329591
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Entity Type | Organization
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Legal Business Name | WINN HEALTH LABS, LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100N
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City | ROSWELL
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State | GA
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Zip | 30076-4892
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Country | US
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Telephone | 305-204-9347
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Fax | 706-923-2315
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL STE N
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 646-820-1492
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Fax | 202-900-1805
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Authorized Official
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Title or Position | CEO
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Name | MADELINE MUNOZ
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Credential |
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Telephone | 646-820-1492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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