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General NPI Number Information
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NPI Number | 1700749611
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Entity Type | Organization
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Legal Business Name | HEALING WOUNDS SOLUTIONS
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 127 S BRAND BLVD STE 207
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City | GLENDALE
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State | CA
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Zip | 91204-1372
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Country | US
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Telephone | 818-395-1905
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Fax | 818-337-2933
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Provider Business Mailing Address
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Address Line | 127 S BRAND BLVD STE 207
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City | GLENDALE
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State | CA
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Zip | 91204-1372
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Country | US
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Telephone | 818-395-1905
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Fax | 818-337-2933
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | GAYANE AGAZARYAN
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Credential |
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Telephone | 818-395-1905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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