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General NPI Number Information
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NPI Number | 1720962699
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Entity Type | Organization
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Legal Business Name | HEALTH CONNECT WOUND SOLUTIONS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3469 TENNESSEE ST STE 302
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City | VALLEJO
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State | CA
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Zip | 94591-5688
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Country | US
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Telephone | 925-787-2914
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Fax |
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Provider Business Mailing Address
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Address Line | 433 AIRPORT BLVD STE 100
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City | BURLINGAME
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State | CA
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Zip | 94010-2037
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Country | US
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Telephone | 833-566-5696
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RAN S KIM
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Credential | MD, FACS
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Telephone | 925-787-2914
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery 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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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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 | 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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