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General NPI Number Information
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NPI Number | 1033948674
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Entity Type | Organization
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Legal Business Name | SIGMA INNOVATION GROUP PLLC
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 20558 E 1400TH AVE
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City | TEUTOPOLIS
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State | IL
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Zip | 62467-3644
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Country | US
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Telephone | 217-343-4108
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Fax | 615-628-0823
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | TEUTOPOLIS
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State | IL
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Zip | 62467-0144
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Country | US
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Telephone | 217-343-4108
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Fax | 615-628-0823
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Authorized Official
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Title or Position | CEO
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Name | JOHN NEIHLS
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Credential |
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Telephone | 217-343-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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