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General NPI Number Information
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NPI Number | 1093597908
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Entity Type | Organization
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Legal Business Name | TRUGRACE WOUND CARE, LLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 5142 N ACADEMY BLVD #1083
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4002
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Country | US
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Telephone | 719-466-1827
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Fax |
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Provider Business Mailing Address
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Address Line | 5142 N ACADEMY BLVD #1083
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4002
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Country | US
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Telephone | 719-466-1827
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA COUGER
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Credential | DNP, ANP-C
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Telephone | 719-466-1827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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