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General NPI Number Information
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NPI Number | 1083594576
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Entity Type | Organization
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Legal Business Name | OMNIA WOUND CARE, LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 4425 S PECOS RD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89121-5039
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Country | US
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Telephone | 725-210-6321
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Fax | 725-210-6322
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Provider Business Mailing Address
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Address Line | 4425 S PECOS RD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89121-5039
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Country | US
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Telephone | 725-210-6322
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Fax | 725-210-6322
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELISSA MURRI
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Credential |
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Telephone | 725-210-6321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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