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General NPI Number Information
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NPI Number | 1609752062
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Entity Type | Organization
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Legal Business Name | INDEPENDENT WOUND CARE PLLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 19 BRANDON STREET
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City | PORTLAND
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State | ME
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Zip | 04103
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Country | US
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Telephone | 207-615-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 91 AUBURN ST STE J
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City | PORTLAND
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State | ME
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Zip | 04103-6014
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Country | US
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Telephone | 207-615-9940
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF COMMERCIAL OPERATIONS
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Name | MRS. JAMES LESLIE MURPHY
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Credential |
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Telephone | 207-615-9940
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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 |
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