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General NPI Number Information
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NPI Number | 1356768907
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Entity Type | Organization
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Legal Business Name | WOUND CARE PARTNERS, LLC
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 304 W SIERRA MADRE BLVD
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2313
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Country | US
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Telephone | 888-794-2362
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Fax |
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Provider Business Mailing Address
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Address Line | 304 W SIERRA MADRE BLVD
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2313
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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 | GENERAL COUNSEL
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Name | CONNIE WOOD
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Credential | ESQ.
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Telephone | 888-484-3922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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