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General NPI Number Information
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NPI Number | 1982358016
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Entity Type | Organization
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Legal Business Name | WINLIN CARE INC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 10720 DIXON DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7406
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Country | US
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Telephone | 813-442-0280
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Fax | 813-252-8360
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Provider Business Mailing Address
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Address Line | 10720 DIXON DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7406
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Country | US
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Telephone | 813-442-0280
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | WINFERD D CHASTEN
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Credential |
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Telephone | 813-716-4593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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