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General NPI Number Information
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NPI Number | 1922983030
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Entity Type | Organization
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Legal Business Name | SELECT WOUND CARE LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1845 EASTWEST PKWY STE 10
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-6405
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Country | US
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Telephone | 904-425-9060
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Fax | 904-425-9061
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Provider Business Mailing Address
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Address Line | 1845 EASTWEST PKWY STE 10
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-6405
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Country | US
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Telephone | 904-425-9060
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Fax | 904-425-9061
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Authorized Official
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Title or Position | OWNER
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Name | JON PAUL FRITZ
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Credential |
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Telephone | 905-425-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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