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General NPI Number Information
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NPI Number | 1093659609
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Entity Type | Organization
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Legal Business Name | INNOVATIVE WOUND SOLUTIONS
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4531
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Country | US
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Telephone | 479-426-8803
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Fax | 833-972-4809
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Provider Business Mailing Address
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Address Line | 10210 N 92ND ST STE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4531
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Country | US
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Telephone | 479-426-8803
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Fax | 833-972-4809
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Authorized Official
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Title or Position | FNP
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Name | ANGELICA BRIBIESCAS
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Credential | NP
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Telephone | 801-231-1090
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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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