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General NPI Number Information
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NPI Number | 1598576100
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Entity Type | Organization
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Legal Business Name | JS WOUND CARE INC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 25050 PEACHLAND AVE STE 255
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City | NEWHALL
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State | CA
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Zip | 91321-5761
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Country | US
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Telephone | 714-261-5181
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Fax | 818-356-4380
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Provider Business Mailing Address
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Address Line | 25044 PEACHLAND AVE STE 110
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City | NEWHALL
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State | CA
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Zip | 91321-5730
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Country | US
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Telephone | 844-960-2673
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CFO
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Name | SON HUYNH
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Credential | PA
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Telephone | 714-261-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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