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General NPI Number Information
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NPI Number | 1538966643
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Entity Type | Organization
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Legal Business Name | U WELLNESS WOUND CARE APC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1399 YGNACIO VALLEY RD STE 11D
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2874
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Country | US
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Telephone | 925-357-9033
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Fax | 925-459-6185
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Provider Business Mailing Address
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Address Line | 1399 YGNACIO VALLEY RD STE 11D
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2874
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Country | US
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Telephone | 925-357-9033
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Fax | 925-459-6185
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Authorized Official
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Title or Position | OWNER
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Name | RAN S KIM
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Credential | MD
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Telephone | 925-787-2914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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