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General NPI Number Information
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NPI Number | 1669334652
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTH CARE- WOUND CARE PROS
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 310 MID CONTINENT PLZ STE 303
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-1760
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Country | US
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Telephone | 870-739-0664
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Fax |
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Provider Business Mailing Address
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Address Line | 310 MID CONTINENT PLZ STE 303
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-1760
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Country | US
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Telephone | 870-739-0664
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RIQELL BOGA
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Credential |
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Telephone | 870-739-0664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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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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