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General NPI Number Information
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NPI Number | 1093508798
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Entity Type | Organization
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Legal Business Name | VA ALLIANCE WOUND CARE SERVICES PLLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 440 MONTICELLO AVE STE 1802
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City | NORFOLK
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State | VA
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Zip | 23510-2670
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Country | US
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Telephone | 210-850-5790
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8087
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City | SURPRISE
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State | AZ
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Zip | 85374-0118
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Country | US
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Telephone | 888-706-1444
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Fax | 800-306-9538
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Authorized Official
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Title or Position | CEO
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Name | BRENDA LEA BAKER
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Credential | FNP-BC
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Telephone | 888-706-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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