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General NPI Number Information
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NPI Number | 1093587024
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Entity Type | Organization
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Legal Business Name | WOUND CARE CONSULTANTS U S LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 4022 E GREENWAY RD STE 11-180
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City | PHOENIX
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State | AZ
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Zip | 85032-0445
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Country | US
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Telephone | 866-263-3820
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Fax | 866-857-9967
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Provider Business Mailing Address
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Address Line | 4022 E GREENWAY RD STE 11-180
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City | PHOENIX
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State | AZ
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Zip | 85032-0445
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Country | US
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Telephone | 866-263-3820
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Fax | 866-857-9967
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Authorized Official
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Title or Position | OWNER
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Name | KELLY L SCHULTZ
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Credential | DNP
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Telephone | 602-663-3354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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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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