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General NPI Number Information
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NPI Number | 1922950658
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL WOUND CARE LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 626 FIELD CREEK RD
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City | RUFFIN
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State | SC
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Zip | 29475-4144
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Country | US
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Telephone | 843-909-0198
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Fax | 843-790-1754
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Provider Business Mailing Address
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Address Line | 626 FIELD CREEK RD
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City | RUFFIN
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State | SC
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Zip | 29475-4144
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Country | US
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Telephone | 843-909-0198
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Fax | 843-790-1754
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Authorized Official
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Title or Position | OWNER
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Name | STACEY GLEN BANIS
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Credential | DNP
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Telephone | 843-909-0198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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