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General NPI Number Information
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NPI Number | 1396705927
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Entity Type | Organization
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Legal Business Name | WOUND SPECIALISTS, LLC
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 2300 PLEASANT VALLEY RD BLDG 3
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City | YORK
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State | PA
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Zip | 17402-9627
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Country | US
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Telephone | 717-741-9444
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Fax | 717-741-4572
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Provider Business Mailing Address
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Address Line | 2300 PLEASANT VALLEY RD BLDG 3
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City | YORK
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State | PA
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Zip | 17402-9627
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Country | US
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Telephone | 717-741-9444
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Fax | 717-741-4572
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIKHILESH AGARWAL
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Credential | MD
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Telephone | 717-741-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD024908E
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License Number State | PA
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