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General NPI Number Information
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NPI Number | 1063307288
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND CARE LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 480 S 3RD ST
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City | COLUMBUS
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State | OH
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Zip | 43215-5702
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Country | US
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Telephone | 614-512-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 480 S 3RD ST
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City | COLUMBUS
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State | OH
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Zip | 43215-5702
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Country | US
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Telephone | 614-512-9665
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAURA MANNING
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Credential | MD
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Telephone | 614-512-9665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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