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General NPI Number Information
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NPI Number | 1225901903
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Entity Type | Organization
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Legal Business Name | MOBILEHEALTH WOUND CARE LLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 16 HILL CREEK RD
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City | CENTERVILLE
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State | MA
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Zip | 02632-3365
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Country | US
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Telephone | 508-292-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 16 HILL CREEK RD
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City | CENTERVILLE
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State | MA
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Zip | 02632-3365
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Country | US
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Telephone | 508-292-4270
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MIRANDA BOWEN
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Credential |
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Telephone | 615-504-1984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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