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General NPI Number Information
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NPI Number | 1003612276
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Entity Type | Organization
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Legal Business Name | NOVA WOUND CARE LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 28867 LORAIN RD STE 2
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-4043
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Country | US
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Telephone | 833-968-6327
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Fax |
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Provider Business Mailing Address
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Address Line | 4503 AZALEA LN
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-2450
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Country | US
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Telephone | 440-552-6385
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MITCHELL WESLEY ARANEZ LITAM
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Credential |
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Telephone | 440-552-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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