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General NPI Number Information
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NPI Number | 1578259016
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Entity Type | Organization
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Legal Business Name | WHOLLY WOUNDS, PLLC
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 521 ERIN DR UNIT 771684
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City | MEMPHIS
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State | TN
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Zip | 38117-4249
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Country | US
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Telephone | 901-450-7470
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Fax | 901-881-5944
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Provider Business Mailing Address
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Address Line | PO BOX 771684
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City | MEMPHIS
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State | TN
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Zip | 38177-1684
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Country | US
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Telephone | 901-450-7470
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Fax | 901-881-5944
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DANIEL SALLIS MURRELL
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Credential | MD
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Telephone | 901-450-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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