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General NPI Number Information
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NPI Number | 1780504217
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Entity Type | Organization
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Legal Business Name | HEAL ALL WOUND CARE LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 735 HIGHWAY 30 STE D
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City | SAINT GABRIEL
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State | LA
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Zip | 70776-5015
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Country | US
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Telephone | 225-314-9314
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Fax | 222-398-5022
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Provider Business Mailing Address
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Address Line | 660 LAKELAND EAST DR STE 210
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City | FLOWOOD
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State | MS
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Zip | 39232-9777
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Country | US
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Telephone | 601-351-9875
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Fax | 888-398-1151
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Authorized Official
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Title or Position | VP OF BILLING & CREDENTIALING
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Name | ASHLEY POYTHRESS
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Credential |
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Telephone | 601-665-4162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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