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General NPI Number Information
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NPI Number | 1386566438
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Entity Type | Organization
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Legal Business Name | WOUND HEALING SPECIALISTS OF OHIO
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 8166 OLD WOODS CT
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City | SPRINGBORO
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State | OH
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Zip | 45066-9194
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Country | US
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Telephone | 215-315-3158
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Fax |
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Provider Business Mailing Address
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Address Line | 286 BARCROFT RD
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City | YORK
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State | PA
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Zip | 17406-9215
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Country | US
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Telephone | 215-315-3158
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANTHONY FARDELLA
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Credential |
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Telephone | 267-767-0194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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