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General NPI Number Information
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NPI Number | 1467272179
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Entity Type | Organization
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Legal Business Name | WOUND 2 WELLNESS
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 818 MAGNOLIA AVE STE 201
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City | CORONA
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State | CA
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Zip | 92879-3128
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Country | US
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Telephone | 951-356-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 818 MAGNOLIA AVE STE 201
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City | CORONA
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State | CA
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Zip | 92879-3128
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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 | MEDICAL DIRECTOR
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Name | SAMEER OHRI
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Credential | MD
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Telephone | 951-356-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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