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General NPI Number Information
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NPI Number | 1124842588
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL WOUND SPECIALISTS PLLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1400 16TH STREET STE 400 OFC 4080
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City | DENVER
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State | CO
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Zip | 80202-5995
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Country | US
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Telephone | 888-434-8880
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Fax | 855-434-8880
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Provider Business Mailing Address
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Address Line | 1400 16TH STREET STE 400 OFC 4080
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City | DENVER
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State | CO
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Zip | 80202-5995
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Country | US
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Telephone | 888-434-8880
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Fax | 855-434-8880
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NIKKI NGUYEN
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Credential |
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Telephone | 888-434-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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