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General NPI Number Information
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NPI Number | 1104715515
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Entity Type | Organization
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Legal Business Name | BELLA WOUND CARE MEDICAL CORPORATION, P.C.
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 213 E ST STE D
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City | DAVIS
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State | CA
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Zip | 95616-4573
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Country | US
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Telephone | 925-474-7403
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Fax |
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Provider Business Mailing Address
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Address Line | 213 E ST STE D
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City | DAVIS
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State | CA
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Zip | 95616-4573
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Country | US
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Telephone | 925-474-7403
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENDEN N TU
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Credential | MD
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Telephone | 925-474-7403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal 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 | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 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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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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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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