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General NPI Number Information
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NPI Number | 1720911530
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Entity Type | Organization
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Legal Business Name | FM WOUNDCARE LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 6601 PARK OF COMMERCE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33487-8247
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Country | US
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Telephone | 310-955-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 2254 250TH ST
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City | LOMITA
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State | CA
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Zip | 90717-2138
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Country | US
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Telephone | 310-955-8213
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARAH BANGASH
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Credential | BANGASH
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Telephone | 310-955-8213
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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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