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General NPI Number Information
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NPI Number | 1437942786
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Entity Type | Organization
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Legal Business Name | ADVANCED PRO WOUND CARE LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 4171 MARIETTA ST STE 300A
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-4808
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Country | US
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Telephone | 770-589-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 5378 SILVER WOODS WALK
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-9073
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAY Y JOHNSON
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Credential | NP
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Telephone | 678-549-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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