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General NPI Number Information
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NPI Number | 1083571327
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Entity Type | Organization
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Legal Business Name | HC WOUND MANAGEMENT PSC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2607 MAIN ST
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City | BENTON
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State | KY
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Zip | 42025-7601
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Country | US
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Telephone | 732-631-4358
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Fax | 732-631-4353
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Provider Business Mailing Address
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Address Line | 15 AMERICA AVE UNIT 103
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4583
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Country | US
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Telephone | 732-631-4358
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Fax | 732-631-4353
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL OLIVERO
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Credential |
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Telephone | 732-631-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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