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General NPI Number Information
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NPI Number | 1326913674
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Entity Type | Organization
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Legal Business Name | OKEECHOBEE WOUND AND WELLNESS CLINIC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 8102 COQUINA AVE FL 34951
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City | FORT PIERCE
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State | FL
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Zip | 34951-1032
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Country | US
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Telephone | 772-216-3123
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Fax | 772-264-6336
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Provider Business Mailing Address
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Address Line | 8102 COQUINA AVE FL 34951
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City | FORT PIERCE
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State | FL
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Zip | 34951-1032
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Country | US
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Telephone | 772-216-3123
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Fax | 772-264-6336
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Authorized Official
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Title or Position | CMO/PROVIDER
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Name | DIANNA GAIL DASHNER
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Credential | DNP, ARNP
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Telephone | 772-216-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 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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