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General NPI Number Information
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NPI Number | 1801284732
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Entity Type | Organization
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Legal Business Name | WOUND CARE SOLUTIONS
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 8671 TOMMY DR
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City | SAN DIEGO
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State | CA
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Zip | 92119-2011
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Country | US
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Telephone | 619-718-2721
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Fax | 619-713-6420
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Provider Business Mailing Address
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Address Line | 8671 TOMMY DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92119
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Country | US
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Telephone | 619-718-2721
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Fax | 619-713-6420
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TERRIGENE L ALLEN
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Credential | LVN, WCC
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Telephone | 619-718-2721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 182029
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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