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General NPI Number Information
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NPI Number | 1043036049
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Entity Type | Organization
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Legal Business Name | UNITED WOUNDCARE INSTITUTE NORTH CAROLINA PLLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 4037 E INDEPENDENCE BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28205-3260
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Country | US
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Telephone | 888-402-0202
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Fax | 888-860-2960
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Provider Business Mailing Address
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Address Line | PO BOX 809208
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City | CHICAGO
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State | IL
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Zip | 60680-9201
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Country | US
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Telephone | 248-607-0037
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Fax | 734-462-0344
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE
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Name | KIMBERLY MILLER
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Credential |
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Telephone | 248-331-7908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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