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General NPI Number Information
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NPI Number | 1760268940
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Entity Type | Organization
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Legal Business Name | VISITING WOUND SPECIALISTS & PRIMARY CARE PLLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 39880 VAN DYKE AVE STE 202
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4670
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Country | US
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Telephone | 248-376-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 39880 VAN DYKE AVE STE 202
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4670
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Country | US
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Telephone | 313-403-8787
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARCHANA SODHA
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Credential | PA
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Telephone | 714-944-8105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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 #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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 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 #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental 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 | 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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