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General NPI Number Information
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NPI Number | 1942162987
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Entity Type | Organization
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Legal Business Name | WOUNDPRO MOBILE SOLUTIONS
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 41763 MCMONAGLE SQ
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City | ALDIE
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State | VA
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Zip | 20105-6031
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Country | US
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Telephone | 770-757-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 41763 MCMONAGLE SQ
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City | ALDIE
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State | VA
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Zip | 20105-6031
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Country | US
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Telephone | 770-757-5660
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HADDIJATOU JARJUSEY
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Credential | LPN-WCN
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Telephone | 770-757-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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