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General NPI Number Information
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NPI Number | 1184598765
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Entity Type | Organization
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Legal Business Name | SUPERIOR WOUND CARE
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 5203
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City | RIDGELAND
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State | MS
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Zip | 39157-2079
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Country | US
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Telephone | 833-968-6370
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Fax | 855-582-1326
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Provider Business Mailing Address
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Address Line | 2 N CENTRAL AVE STE 1800
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City | PHOENIX
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State | AZ
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Zip | 85004-2139
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Country | US
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Telephone | 833-968-6370
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Fax | 855-582-1326
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Authorized Official
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Title or Position | OWNER
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Name | MS. NICOLE WOODS
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Credential |
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Telephone | 602-623-0828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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