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General NPI Number Information
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NPI Number | 1366329245
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Entity Type | Organization
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Legal Business Name | WONDER WOUND CARE
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 314 ROSEWOOD AVE SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-1734
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Country | US
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Telephone | 212-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 314 ROSEWOOD AVE SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-1734
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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 | OWNER
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Name | MR. DAVID MARGOLIS
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Credential |
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Telephone | 212-444-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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