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General NPI Number Information
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NPI Number | 1548152036
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Entity Type | Organization
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Legal Business Name | MOBILE HEAL WELL WOUND CARE LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2540 W RASCHER AVE
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City | CHICAGO
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State | IL
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Zip | 60625-8018
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Country | US
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Telephone | 773-473-1961
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 W RASCHER AVE
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City | CHICAGO
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State | IL
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Zip | 60625-8018
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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 | JOSEPHINE VILLAPANA
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Credential |
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Telephone | 707-514-6171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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