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General NPI Number Information
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NPI Number | 1588541965
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Entity Type | Organization
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Legal Business Name | MUIR WOUND CARE
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 3170 CROW CANYON PL
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City | SAN RAMON
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State | CA
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Zip | 94583-1347
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Country | US
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Telephone | 888-819-5185
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Fax |
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Provider Business Mailing Address
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Address Line | 3170 CROW CANYON PL
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City | SAN RAMON
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State | CA
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Zip | 94583-1347
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Country | US
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Telephone | 888-819-5185
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BE-VERLYN NAVARRO
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Credential | NP
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Telephone | 323-336-1178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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