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General NPI Number Information
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NPI Number | 1588326888
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE WOUND CARE, PLLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 11 APEX DR STE 300A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1977
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Country | US
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Telephone | 413-323-3899
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Fax |
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Provider Business Mailing Address
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Address Line | 243 STEELE RD APT 113
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1720
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Country | US
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Telephone | 210-501-8181
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Fax |
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Authorized Official
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Title or Position | OWNER/APRN
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Name | DR. SONJA RENE ALEXANDER
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Credential |
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Telephone | 210-501-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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