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General NPI Number Information
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NPI Number | 1831868561
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Entity Type | Organization
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Legal Business Name | PREFERRED WOUND CARE, LLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/18/2021
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Provider Practice Location Address
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Address Line | 1117 S RANGELINE RD
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City | CARMEL
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State | IN
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Zip | 46032-2545
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Country | US
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Telephone | 317-688-7303
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Fax | 317-688-7306
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Provider Business Mailing Address
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Address Line | 2229 SEASONS NORTH DR UNIT 210
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City | CARMEL
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State | IN
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Zip | 46280-1677
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Country | US
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Telephone | 317-688-7303
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Fax | 317-688-7306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID B CHALFANT
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Credential | D.C.
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Telephone | 317-688-7303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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