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General NPI Number Information
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NPI Number | 1992502421
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Entity Type | Organization
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Legal Business Name | MOBILE WOUND CARE LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1800 TEAGUE DR STE 219
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City | SHERMAN
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State | TX
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Zip | 75090-2640
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Country | US
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Telephone | 903-357-5320
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Fax | 903-524-0873
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Provider Business Mailing Address
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Address Line | 2424 SPRINGER DR STE 300
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City | NORMAN
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State | OK
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Zip | 73069-3966
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Country | US
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Telephone | 903-357-5320
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Fax | 903-524-0873
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Authorized Official
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Title or Position | OWNER
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Name | TERRY GRAY
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Credential |
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Telephone | 405-920-8035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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