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General NPI Number Information
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NPI Number | 1760340756
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Entity Type | Organization
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Legal Business Name | DERMACORE WOUND CARE
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 871 CORONADO CENTER DR
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 702-660-0809
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Fax | 702-659-8039
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Provider Business Mailing Address
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Address Line | 871 CORONADO CENTER DR
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 702-660-0809
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Fax | 702-659-8039
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHELLE LABAO
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Credential |
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Telephone | 702-660-0809
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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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