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General NPI Number Information
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NPI Number | 1891278610
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Entity Type | Organization
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Legal Business Name | WIN TEAM, LLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 10001 DEREKWOOD LN STE 210
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City | LANHAM
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State | MD
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Zip | 20706-4865
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Country | US
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Telephone | 301-552-5425
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 W NORTHERN PARKWAY
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City | BALTIMORE
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State | MD
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Zip | 21215
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Country | US
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Telephone | 410-578-8003
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ALFORD W. LAWS JR.
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Credential |
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Telephone | 410-578-8003
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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 | BH000995
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License Number State | MD
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