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General NPI Number Information
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NPI Number | 1265248413
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Entity Type | Organization
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Legal Business Name | EPIC WOUND CARE INC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 30700 RUSSELL RANCH RD STE 250
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-9507
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Country | US
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Telephone | 888-998-7555
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Fax | 844-995-1778
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Provider Business Mailing Address
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Address Line | 30700 RUSSELL RANCH RD STE 250
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-9507
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Country | US
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Telephone | 888-998-7555
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Fax | 844-995-1778
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | OREN RAPHAEL
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Credential | MD
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Telephone | 917-732-6379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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