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General NPI Number Information
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NPI Number | 1285409540
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Entity Type | Organization
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Legal Business Name | INTEGRITY WOUND PHYSICIANS INC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 400 E ORANGEBURG AVE STE 5
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City | MODESTO
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State | CA
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Zip | 95350-5365
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Country | US
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Telephone | 516-589-5137
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Fax | 858-800-0463
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Provider Business Mailing Address
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Address Line | 16769 BERNARDO CENTER DR STE 1-827
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City | SAN DIEGO
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State | CA
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Zip | 92128-2546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAISAL AMIN
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Credential | MD
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Telephone | 516-589-5137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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