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General NPI Number Information
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NPI Number | 1912879768
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Entity Type | Organization
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Legal Business Name | CLOSURE MOBILE WOUND CARE PLLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 555 HENRY RUFF RD 555 HENRY RUFF RD
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City | MILL SPRING
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State | NC
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Zip | 28756-5650
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Country | US
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Telephone | 828-305-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 555 HENRY RUFF RD 555 HENRY RUFF RD
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City | MILL SPRING
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State | NC
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Zip | 28756-5650
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Country | US
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Telephone | 828-305-4738
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MR. COLDEN THOMAS O'DELL
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Credential | FNP-C
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Telephone | 828-305-4738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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