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1912879768 NPI number — CLOSURE MOBILE WOUND CARE PLLC

NPI Number: 1912879768
Health Care Provider/Practitioner: CLOSURE MOBILE WOUND CARE PLLC

Information about “1912879768” NPI (CLOSURE MOBILE WOUND CARE PLLC) exists in 1912879768 in HTML format HTML  |  1912879768 in plain Text format TXT  |  1912879768 in PDF (Portable Document Format) PDF  |  1912879768 in an XML format XML  formats.

NPI Number : 1912879768 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912879768",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLOSURE MOBILE WOUND CARE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "555 HENRY RUFF RD",
    "SecondLineMailingAddress": "555 HENRY RUFF RD",
    "MailingAddressCityName": "MILL SPRING",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28756-5650",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "828-305-4738",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "555 HENRY RUFF RD",
    "SecondLinePracticeLocationAddress": "555 HENRY RUFF RD",
    "PracticeLocationAddressCityName": "MILL SPRING",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28756-5650",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-305-4738",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2025",
    "LastUpdateDate": "09/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "O'DELL",
    "AuthorizedOfficialFirstName": "COLDEN",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "OWNER/PROVIDER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-C",
    "AuthorizedOfficialTelephoneNumber": "828-305-4738",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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