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General NPI Number Information
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NPI Number | 1548070014
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Entity Type | Organization
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Legal Business Name | MOBILE WOUND CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1765 COUNTRY RD
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City | PROCTORVILLE
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State | OH
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Zip | 45669
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Country | US
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Telephone | 919-429-1901
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Fax | 888-838-5378
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Provider Business Mailing Address
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Address Line | 4020 PROGRESSIVE CHURCH RD
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City | PRINCETON
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State | NC
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Zip | 27569-8621
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Country | US
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Telephone | 919-429-1901
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | APRIL EVANS
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Credential |
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Telephone | 919-634-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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