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General NPI Number Information
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NPI Number | 1669139051
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Entity Type | Organization
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Legal Business Name | BC&F WOUNDCARE LLC
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 2905 ABERNATHY LAKE CV
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City | JONESBORO
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State | AR
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Zip | 72404-8403
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Country | US
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Telephone | 870-897-6116
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Fax | 888-635-2856
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Provider Business Mailing Address
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Address Line | 2905 ABERNATHY LAKE CV
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City | JONESBORO
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State | AR
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Zip | 72404-8403
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Country | US
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Telephone | 870-897-6116
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Fax | 888-635-2856
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES WILLIAM FLETCHER III
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Credential | MD
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Telephone | 870-897-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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