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General NPI Number Information
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NPI Number | 1508468059
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Entity Type | Organization
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Legal Business Name | WOUND CARE SUPPLIES LLC
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 4014 CHASE AVE STE 215
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3446
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Country | US
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Telephone | 305-763-8876
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Fax | 877-391-2770
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Provider Business Mailing Address
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Address Line | PO BOX 403311
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City | MIAMI BEACH
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State | FL
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Zip | 33140-1311
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Country | US
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Telephone | 305-375-8876
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Fax | 877-391-2770
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELISA BOGOMILSKY
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Credential |
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Telephone | 305-375-1566
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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 |
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