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General NPI Number Information
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NPI Number | 1477765667
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Entity Type | Organization
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Legal Business Name | ACUTE WOUND CARE LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 28200 OLD 41 RD UNIT 208
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-0836
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Country | US
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Telephone | 239-949-4412
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Fax | 877-262-3226
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Provider Business Mailing Address
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Address Line | 28200 OLD 41 RD UNIT 208
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-0836
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Country | US
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Telephone | 239-949-4412
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Fax | 877-262-3226
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | MRS. ALYSSA E SNYDER
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Credential | CCT
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Telephone | 239-949-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | FL
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