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General NPI Number Information
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NPI Number | 1598699522
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Entity Type | Organization
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Legal Business Name | MENDWELL MID-ATLANTIC WOUND CARE LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1314 ANGLESEY DR
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-1264
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Country | US
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Telephone | 443-692-2070
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Fax | 443-281-5650
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Provider Business Mailing Address
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Address Line | 1314 ANGLESEY DR
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-1264
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Country | US
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Telephone | 443-692-2070
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Fax | 443-281-5650
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Authorized Official
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Title or Position | OWNER
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Name | NIKHILESH AGARWAL
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Credential |
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Telephone | 717-332-7990
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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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