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General NPI Number Information
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NPI Number | 1558172387
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Entity Type | Organization
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Legal Business Name | WOUND CARE ON WHEELS LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 6707 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-1536
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Country | US
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Telephone | 727-800-9958
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Fax | 855-552-3776
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Provider Business Mailing Address
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Address Line | 6707 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-1536
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Country | US
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Telephone | 727-800-9958
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Fax | 855-552-3776
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE THUNE
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Credential | ARNP
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Telephone | 727-800-9958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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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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