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General NPI Number Information
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NPI Number | 1992660567
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Entity Type | Organization
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Legal Business Name | EASTERN WOUND CARE P.C.
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8220 MOORES LN
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City | BRENTWOOD
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State | TN
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Zip | 37027-8021
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Country | US
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Telephone | 615-656-0979
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 E CHAPMAN AVE STE 230
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City | ORANGE
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State | CA
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Zip | 92869-3745
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Country | US
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Telephone | 615-656-0979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIONEL HOLDEN LEE
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Credential |
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Telephone | 909-800-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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