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General NPI Number Information
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NPI Number | 1962776658
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Entity Type | Organization
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Legal Business Name | TRI-STATE WOUND CARE, LLC
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 300 E PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-6435
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Country | US
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Telephone | 410-398-0590
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Fax | 410-392-9408
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Provider Business Mailing Address
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Address Line | PO BOX 1040
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City | ELKTON
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State | MD
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Zip | 21922-1040
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Country | US
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Telephone | 410-398-0590
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Fax | 410-392-9408
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZAHID ASLAM
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Credential | M.D.
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Telephone | 443-350-3519
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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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