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General NPI Number Information
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NPI Number | 1821932641
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Entity Type | Organization
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Legal Business Name | QUANTUMCARE WOUND CARE, LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 7878 MAIN ST
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City | LA VISTA
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State | NE
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Zip | 68128-2964
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Country | US
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Telephone | 860-637-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 7878 MAIN ST
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City | LA VISTA
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State | NE
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Zip | 68128-2964
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Country | US
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Telephone | 860-637-9371
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JAMIE ANNE LOCH
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Credential | CPCO
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Telephone | 531-250-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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