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General NPI Number Information
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NPI Number | 1548140163
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Entity Type | Organization
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Legal Business Name | VISIONARY WOUND REHAB PLLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 411 LANTERN BEND DR STE 100E
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City | HOUSTON
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State | TX
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Zip | 77090-2839
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Country | US
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Telephone | 310-480-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 411 LANTERN BEND DR STE 100E
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City | HOUSTON
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State | TX
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Zip | 77090-2839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMEKA ALUDOGBU
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Credential | DC
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Telephone | 310-480-1669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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