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General NPI Number Information
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NPI Number | 1629954011
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Entity Type | Organization
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Legal Business Name | WELLO WOUND CARE NURSING, PC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 11239 VENTURA BLVD STE 212
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City | STUDIO CITY
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State | CA
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Zip | 91604-3167
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Country | US
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Telephone | 84-443-5569
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Fax |
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Provider Business Mailing Address
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Address Line | 11413 ETIWANDA AVE
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City | PORTER RANCH
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State | CA
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Zip | 91326-2013
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Country | US
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Telephone | 224-425-1142
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. ROVIN APOSTOL SANTOS
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Credential | NP
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Telephone | 224-425-1142
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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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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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