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General NPI Number Information
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NPI Number | 1295615284
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Entity Type | Organization
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Legal Business Name | HEALIX WOUND CARE INC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1915 W GLENOAKS BLVD STE 200
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City | GLENDALE
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State | CA
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Zip | 91201-4387
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Country | US
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Telephone | 818-660-0244
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Fax | 818-660-0242
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Provider Business Mailing Address
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Address Line | 1915 W GLENOAKS BLVD STE 200
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City | GLENDALE
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State | CA
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Zip | 91201-4387
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Country | US
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Telephone | 818-660-0244
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Fax | 818-660-0242
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Authorized Official
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Title or Position | OWNER
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Name | HASMIK HOVHANNISYAN
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Credential |
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Telephone | 818-660-0244
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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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