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General NPI Number Information
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NPI Number | 1427854926
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND THERAPY - AR, LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 593 S HORSEBARN RD STE 200
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City | ROGERS
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State | AR
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Zip | 72758-8798
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Country | US
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Telephone | 918-592-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 2488 E 81ST ST STE 2000
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City | TULSA
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State | OK
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Zip | 74137-4224
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Country | US
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Telephone | 918-592-9020
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DARWIN GRIFFETH
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Credential | DC
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Telephone | 918-592-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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