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General NPI Number Information
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NPI Number | 1730989062
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Entity Type | Organization
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Legal Business Name | CUTTINGEDGE WOUND EXPERTS INC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1700 S DIXIE HWY STE 200E
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City | BOCA RATON
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State | FL
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Zip | 33432-7406
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Country | US
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Telephone | 307-241-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N DIXIE HWY
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City | BOCA RATON
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State | FL
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Zip | 33431-8003
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Country | US
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Telephone | 307-241-6004
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM LUCKY
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Credential | MD
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Telephone | 786-465-5904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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