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General NPI Number Information
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NPI Number | 1265442198
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Entity Type | Organization
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Legal Business Name | WOUND CARE INNOVATIONS, LLC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5452 GLEN LAKES DR SUITE 201
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City | DALLAS
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State | TX
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Zip | 75231-4338
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Country | US
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Telephone | 214-265-7244
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Fax | 214-265-7245
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Provider Business Mailing Address
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Address Line | 5452 GLEN LAKES DR SUITE 201
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City | DALLAS
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State | TX
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Zip | 75231-4338
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Country | US
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Telephone | 214-265-7244
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Fax | 214-265-7245
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | RON THOMPSON
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Credential |
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Telephone | 214-265-7244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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