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General NPI Number Information
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NPI Number | 1700666708
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND CARE OF CARO PC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1800 W CARO RD STE 12
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City | CARO
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State | MI
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Zip | 48723-8209
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Country | US
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Telephone | 989-625-8399
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Fax | 989-286-3019
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Provider Business Mailing Address
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Address Line | 1800 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-8209
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Country | US
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Telephone | 989-625-8399
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Fax | 855-552-3776
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW DENOTTER
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Credential |
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Telephone | 989-625-8399
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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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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | 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 | 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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Taxonomy #4
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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 #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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