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General NPI Number Information
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NPI Number | 1023821055
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Entity Type | Organization
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Legal Business Name | OMNI WOUND PHYSICIANS PLLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 28212 KELLY JOHNSON PKWY STE 200
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City | VALENCIA
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State | CA
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Zip | 91355-5090
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Country | US
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Telephone | 213-228-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 28212 KELLY JOHNSON PKWY STE 200
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City | VALENCIA
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State | CA
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Zip | 91355-5090
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Country | US
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Telephone | 213-228-3538
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IZUCHUKWU OKPARA
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Credential | MD
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Telephone | 661-649-4713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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