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General NPI Number Information
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NPI Number | 1427849389
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Entity Type | Organization
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Legal Business Name | TOTAL VALLEY WOUNDCARE LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 9530 MILE 15 1/2 N
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City | WESLACO
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State | TX
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Zip | 78599-1447
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Country | US
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Telephone | 956-998-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 9530 MILE 15 1/2 N
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City | WESLACO
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State | TX
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Zip | 78599-1447
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Country | US
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Telephone | 956-998-7893
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | MRS. TREAZURE TUCKER
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Credential |
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Telephone | 832-938-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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