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General NPI Number Information
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NPI Number | 1326820465
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Entity Type | Organization
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Legal Business Name | WOUND UNIT LLC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 1846 E INNOVATION PARK DR STE 100
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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Country | US
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Telephone | 310-721-5529
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 E 41ST PL
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City | TULSA
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State | OK
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Zip | 74105-4037
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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 | CEO
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Name | KALEB DENMARK
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Credential |
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Telephone | 310-721-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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