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General NPI Number Information
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NPI Number | 1760335095
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Entity Type | Organization
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Legal Business Name | WOUND HEALING CARE SPECIALISTS OH, INC.
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 1468 W 9TH ST STE 100
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City | CLEVELAND
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State | OH
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Zip | 44113-1252
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Country | US
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Telephone | 909-944-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 3536 CONCOURS STE 225
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City | ONTARIO
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State | CA
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Zip | 91764-5585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PETE CARRASCO
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Credential | DPM
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Telephone | 909-944-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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