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General NPI Number Information
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NPI Number | 1538027925
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Entity Type | Organization
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Legal Business Name | VIRGINIA PRIME WOUND CARE SOLUTIONS
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 47794 BRAWNER PL
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City | STERLING
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State | VA
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Zip | 20165-4709
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Country | US
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Telephone | 703-343-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 47794 BRAWNER PL
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City | STERLING
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State | VA
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Zip | 20165-4709
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Country | US
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Telephone | 703-343-0507
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Fax | 703-940-0691
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Authorized Official
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Title or Position | CEO
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Name | IVY B HORMILLADA
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Credential |
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Telephone | 703-343-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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