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General NPI Number Information
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NPI Number | 1689567109
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Entity Type | Organization
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Legal Business Name | S&S WOUND CARE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 3348 PEDEN RD STE 401
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City | FORT WORTH
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State | TX
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Zip | 76179-5555
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Country | US
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Telephone | 682-564-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 3348 PEDEN RD STE 401
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City | FORT WORTH
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State | TX
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Zip | 76179-5555
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MIDHAT SYED
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Credential | PA
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Telephone | 682-564-8935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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