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General NPI Number Information
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NPI Number | 1922810415
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Entity Type | Organization
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Legal Business Name | WOUND CARE ANYWHERE, PC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 871 CORONADO CENTER DR
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 213-713-3164
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 RASHELDA CT
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City | LAS VEGAS
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State | NV
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Zip | 89130-1257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARIO ANTONIO PACADA
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Credential |
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Telephone | 213-713-3164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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