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NPI 1811165913

NPI 1811165913 : WINS ENTERPRISES, INC. : SARTELL, MN

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General NPI Number Information
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    NPI Number           |    1811165913
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINS ENTERPRISES, INC. 
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Dates
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    Enumeration Date     |    02/12/2008
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    Last Update Date     |    05/08/2018
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Provider Practice Location Address
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    Address Line         |    50 14TH AVE E STE 114 
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    City                 |    SARTELL
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    State                |    MN
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    Zip                  |    56377-4653
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    Country              |    US
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    Telephone            |    320-656-1363
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    Fax                  |    320-656-0916
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Provider Business Mailing Address
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    Address Line         |    50 14TH AVE E STE 114 
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    City                 |    SARTELL
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    State                |    MN
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    Zip                  |    56377-4653
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    Country              |    US
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    Telephone            |    320-656-1363
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    Fax                  |    320-656-0916
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Authorized Official
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    Title or Position    |    OWNER/PEDORTHIST
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    Name                 |    MR. LOUIS CHESTER WINSKOWSKI JR.
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    Credential           |    CERT. PEDORTHIST
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    Telephone            |    320-656-1363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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