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General NPI Number Information
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NPI Number | 1598579013
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Entity Type | Organization
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Legal Business Name | A PLUS WOUND CARE SOLUTIONS INC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 125 FAIRFIELD WAY STE 103
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1556
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Country | US
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Telephone | 630-327-7656
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Fax |
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Provider Business Mailing Address
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Address Line | 125 FAIRFIELD WAY STE 103
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1556
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Country | US
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Telephone | 630-327-7656
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAWRENCE MASICLAT
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Credential |
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Telephone | 630-327-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #4
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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 | NULL
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