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General NPI Number Information
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NPI Number | 1821174038
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Entity Type | Organization
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Legal Business Name | VIANNEY WOUND CARE INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | CARRETERA 115 KM 16.3
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City | RINCON
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State | PR
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Zip | 00677-1112
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Country | US
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Telephone | 787-823-3330
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Fax | 787-823-3330
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Provider Business Mailing Address
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Address Line | PO BOX 1112
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City | RINCON
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State | PR
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Zip | 00677-1112
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Country | US
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Telephone | 787-823-3330
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Fax | 787-823-3330
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWIN VENEZUELA
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Credential |
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Telephone | 787-823-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 01279
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License Number State | PR
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