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General NPI Number Information
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NPI Number | 1811793201
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Entity Type | Organization
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Legal Business Name | WOUND CARE EDUCATION CENTRAL LLC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 132 V MATT WILLIAMS BLVD
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City | POLK CITY
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State | FL
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Zip | 33868-9273
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Country | US
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Telephone | 616-309-3153
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Fax |
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Provider Business Mailing Address
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Address Line | 132 V MATT WILLIAMS BLVD
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City | POLK CITY
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State | FL
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Zip | 33868-9273
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Country | US
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Telephone | 616-309-3153
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Fax |
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Authorized Official
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Title or Position | CEO, CFO
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Name | DR. MARIA AUXILIADORA PAINTER
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Credential | DNP, AGNP, WSOC
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Telephone | 616-309-3153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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