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General NPI Number Information
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NPI Number | 1851271886
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Entity Type | Organization
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Legal Business Name | SPECIALTY WOUND SERVICES LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1609 SW 17TH ST STE 100
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City | OCALA
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State | FL
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Zip | 34471-1285
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Country | US
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Telephone | 352-619-4781
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Fax | 352-619-4807
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Provider Business Mailing Address
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Address Line | 20505 CALLA LILY DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-3829
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Country | US
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Telephone | 813-918-0611
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Fax | 352-619-4807
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ARTHUR BARLAAN
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Credential |
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Telephone | 813-918-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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