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General NPI Number Information
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NPI Number | 1609528371
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Entity Type | Organization
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Legal Business Name | YGM INTERNATIONAL WOUND CARE CLINIC AND MOBILE WOUND CARE SERVICES LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 6 GRAMATAN AVE STE 620
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3208
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Country | US
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Telephone | 914-484-8762
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Fax | 949-437-8516
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Provider Business Mailing Address
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Address Line | 6 GRAMATAN AVE STE 620
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3208
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Country | US
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Telephone | 914-484-8762
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Fax | 914-665-2169
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Authorized Official
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Title or Position | FNP
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Name | YVONNE ALLEN-MORGAN
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Credential |
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Telephone | 917-328-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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