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General NPI Number Information
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NPI Number | 1184413379
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Entity Type | Organization
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Legal Business Name | ACCELERATED WOUND CARE PLLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2720 S RIVER RD STE 256
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City | DES PLAINES
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State | IL
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Zip | 60018-4111
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Country | US
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Telephone | 844-292-5708
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 S RIVER RD STE 256
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City | DES PLAINES
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State | IL
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Zip | 60018-4111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GURIQBAL NANDRA
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Credential |
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Telephone | 844-292-5708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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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 | 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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