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General NPI Number Information
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NPI Number | 1205625985
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Entity Type | Organization
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Legal Business Name | HEALISTIC WOUND CARE MANAGEMENT GROUP
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2724 W PALMETTO ST STE 12
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City | FLORENCE
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State | SC
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Zip | 29501-4909
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Country | US
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Telephone | 843-992-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 W PALMETTO ST STE 12
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City | FLORENCE
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State | SC
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Zip | 29501-4909
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Country | US
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Telephone | 843-992-2754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HILLERY DOLFORD
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Credential |
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Telephone | 843-992-2754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family 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 | 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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