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NPI 1760316608

NPI 1760316608 : SAFEDERM WOUND SOLUTION INC : ENCINO, CA

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General NPI Number Information
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    NPI Number           |    1760316608
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFEDERM WOUND SOLUTION INC 
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Dates
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    Enumeration Date     |    06/08/2026
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    Last Update Date     |    06/08/2026
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Provider Practice Location Address
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    Address Line         |    15760 VENTURA BLVD STE 700 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436-3016
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    Country              |    US
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    Telephone            |    424-394-6353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15760 VENTURA BLVD STE 700 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436-3016
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    Country              |    US
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    Telephone            |    424-394-6353
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     VLAD  PETCU 
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    Credential           |    
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    Telephone            |    424-394-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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