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General NPI Number Information
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NPI Number | 1104669456
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Entity Type | Organization
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Legal Business Name | CYTOHEAL WOUND SOLUTIONS PLLC
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 385 PEMBROKE ST
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City | PEMBROKE
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State | NH
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Zip | 03275-3235
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Country | US
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Telephone | 603-824-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 37 LAKEWOOD DR
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City | TRUMBULL
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State | CT
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Zip | 06611-2446
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Country | US
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Telephone | 203-605-1452
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Fax | 885-921-4838
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBBAN ARIEL SICA
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Credential | MD
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Telephone | 203-799-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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