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General NPI Number Information
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NPI Number | 1649160417
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Entity Type | Organization
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Legal Business Name | BEACON WOUND CARE PLLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 5 W LAS VEGAS ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-4217
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Country | US
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Telephone | 303-981-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 9980 SILVER MAPLE RD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5469
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Country | US
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Telephone | 303-981-1727
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Fax | 720-378-4377
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LEIGH GRAFF
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Credential |
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Telephone | 303-981-1727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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