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General NPI Number Information
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NPI Number | 1790618981
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Entity Type | Organization
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Legal Business Name | DESERT VALLEY WOUND SPECIALISTS INC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 2222 S DOBSON RD STE 1105
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City | MESA
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State | AZ
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Zip | 85202-6201
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Country | US
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Telephone | 602-663-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 2314 FLINTRIDGE DR
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City | GLENDALE
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State | CA
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Zip | 91206-1023
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Country | US
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Telephone | 323-387-8727
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Fax | 866-877-3008
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Authorized Official
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Title or Position | CEO
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Name | SARKIS CHILGEVORKYAN
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Credential |
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Telephone | 480-404-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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