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General NPI Number Information
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NPI Number | 1871432724
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Entity Type | Organization
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Legal Business Name | ROMAN WOUND CARE LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 5292 S COLLEGE DR STE 302
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City | MURRAY
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State | UT
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Zip | 84123-2991
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Country | US
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Telephone | 801-939-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 5292 S COLLEGE DR STE 302
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City | MURRAY
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State | UT
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Zip | 84123-2991
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Country | US
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Telephone | 317-201-5708
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN PATRICK KUNKEL
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Credential | MD
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Telephone | 317-201-5708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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