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General NPI Number Information
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NPI Number | 1265273403
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Entity Type | Organization
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Legal Business Name | WOUND CARE MEDICS LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 105 DECKER CT STE LL110
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City | IRVING
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State | TX
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Zip | 75062-2767
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Country | US
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Telephone | 214-764-9197
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Fax | 214-764-7915
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Provider Business Mailing Address
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Address Line | 105 DECKER CT STE LL110
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City | IRVING
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State | TX
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Zip | 75062-2767
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Country | US
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Telephone | 214-764-9197
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Fax | 214-764-7915
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Authorized Official
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Title or Position | OWNER
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Name | SHIRLEEN GALINSUGA
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Credential |
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Telephone | 817-726-3097
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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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