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General NPI Number Information
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NPI Number | 1376409342
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Entity Type | Organization
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Legal Business Name | HARVEST HEALTH ADVANCED WOUND CARE, LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 6300 WEST LOOP S STE 230
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City | BELLAIRE
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State | TX
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Zip | 77401-2000
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Country | US
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Telephone | 832-769-0922
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 WEST LOOP S STE 230
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City | BELLAIRE
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State | TX
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Zip | 77401-2000
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Country | US
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Telephone | 832-769-0922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEILA BORGSTEDTE
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Credential |
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Telephone | 832-769-0922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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