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General NPI Number Information
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NPI Number | 1992079974
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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 | 03/08/2012
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 10001 DEREKWOOD LN
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City | LANHAM
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State | MD
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Zip | 20706-4804
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Country | US
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Telephone | 410-578-8003
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | COLUMBIA
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State | MD
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Zip | 21045-0037
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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 OFFICE
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Name | MR. AL LAWS JR.
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Credential |
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Telephone | 443-858-8240
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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 |
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License Number State |
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