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General NPI Number Information
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NPI Number | 1932518081
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Entity Type | Organization
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Legal Business Name | ON-SITE WOUND CONSULTANTS P.A
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Dates
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Enumeration Date | 08/02/2014
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 1 COUNTRY RD E
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City | VILLAGE OF GOLF
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State | FL
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Zip | 33436-5611
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Country | US
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Telephone | 561-272-5007
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Fax | 561-241-9507
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Provider Business Mailing Address
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Address Line | 1 COUNTRY RD E
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City | VILLAGE OF GOLF
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State | FL
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Zip | 33436-5611
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Country | US
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Telephone | 561-272-5007
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Fax | 561-241-9507
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANDREW D LADNER
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Credential | M.D.
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Telephone | 561-272-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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