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General NPI Number Information
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NPI Number | 1598878514
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Entity Type | Organization
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Legal Business Name | WOUND CARE SERVICES, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1510 RANDOLPH ST
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City | CARROLLTON
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State | TX
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Zip | 75006-8906
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Country | US
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Telephone | 214-483-3112
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Fax | 214-483-3848
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Provider Business Mailing Address
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Address Line | 2117 N ASPENWOOD DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-6943
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Country | US
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Telephone | 469-879-6553
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Fax | 817-251-4988
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. RYAN PATRICK JUDICE
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Credential |
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Telephone | 469-879-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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