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General NPI Number Information
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NPI Number | 1285440461
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Entity Type | Organization
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Legal Business Name | WOUND CARE HEALTH GROUP
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4667 S LAKESHORE DR STE 7
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City | TEMPE
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State | AZ
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Zip | 85282-7293
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Country | US
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Telephone | 602-341-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 W CHANDLER BLVD STE 2-403
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City | CHANDLER
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State | AZ
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Zip | 85224-6176
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Country | US
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Telephone | 602-341-4466
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KWASI BADU
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Credential | MD
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Telephone | 602-341-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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