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General NPI Number Information
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NPI Number | 1154711281
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Entity Type | Organization
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Legal Business Name | WOUND HEALING ON WHEELS, LLC
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2010 BRIDLE PATH
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-0703
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Country | US
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Telephone | 715-741-9469
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 BRIDLE PATH
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-0703
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Country | US
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Telephone | 715-741-9469
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | THEONA WILLIAMS-FERREIRA
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Credential |
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Telephone | 608-799-8773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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