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General NPI Number Information
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NPI Number | 1952255200
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Entity Type | Organization
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Legal Business Name | WIGMEDIX LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 23838 VALENCIA BOULEVARD 220
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City | VALENCIA
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State | CA
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Zip | 91355
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Country | US
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Telephone | 800-988-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 24355 CREEKSIDE ROAD 802492
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City | SANTA CLARITA
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State | CA
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Zip | 91355
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Country | US
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Telephone | 661-390-8895
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROTHESIS SPECIALIST
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Name | KIMBERLY FOSTER-HAMPTON
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Credential |
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Telephone | 661-390-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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