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General NPI Number Information
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NPI Number | 1538957444
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Entity Type | Organization
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Legal Business Name | WOUND WISE LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6461 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8412
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Country | US
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Telephone | 330-433-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 3570 EXECUTIVE DR STE 210
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City | UNIONTOWN
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State | OH
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Zip | 44685-8712
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Country | US
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Telephone | 330-433-7770
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUKE GASKINS
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Credential | RN
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Telephone | 330-433-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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