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General NPI Number Information
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NPI Number | 1982337689
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Entity Type | Organization
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Legal Business Name | NEW HOPE WOUND CARE SPECIALISTS
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 2503 S TOMMY CT
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City | VISALIA
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State | CA
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Zip | 93277-8624
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Country | US
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Telephone | 559-308-1863
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Fax | 559-713-6657
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Provider Business Mailing Address
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Address Line | 2503 S TOMMY CT
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City | VISALIA
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State | CA
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Zip | 93277-8624
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Country | US
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Telephone | 559-308-1863
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Fax | 559-713-6657
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD GREEN
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Credential |
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Telephone | 559-308-1863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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