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General NPI Number Information
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NPI Number | 1306728605
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUNDCARE SOLUTION LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 9219 RAPPAHANOOK LN
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City | ROSENBERG
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State | TX
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Zip | 77469-1784
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Country | US
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Telephone | 281-788-3334
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Fax |
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Provider Business Mailing Address
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Address Line | 9219 RAPPAHANOOK LN
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City | ROSENBERG
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State | TX
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Zip | 77469-1784
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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 | PRESIDENT
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Name | LEO DELA ROSA
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Credential |
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Telephone | 281-788-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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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 |
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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