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General NPI Number Information
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NPI Number | 1609017755
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Entity Type | Organization
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Legal Business Name | WOUND PROFESSIONAL SERVICES OF HOUSTON, P.A.
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 5822 JUNIPER KNOLL LN
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City | KINGWOOD
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State | TX
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Zip | 77345-1928
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Country | US
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Telephone | 502-409-8223
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Fax | 502-409-8330
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Provider Business Mailing Address
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Address Line | 13317 WESTBURY WAY
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City | GOSHEN
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State | KY
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Zip | 40026-8422
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Country | US
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Telephone | 502-409-8223
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Fax | 502-409-8330
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Authorized Official
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Title or Position | SR. VP OF SALES AND MARKETING
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Name | MS. HEIDI E MUELLER
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Credential |
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Telephone | 502-409-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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