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General NPI Number Information
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NPI Number | 1306621446
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND CARE INC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 970 FILBERT AVE
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City | CHICO
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State | CA
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Zip | 95926
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Country | US
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Telephone | 858-525-1665
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Fax | 760-431-8590
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Provider Business Mailing Address
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Address Line | 970 FILBERT AVE
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City | CHICO
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State | CA
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Zip | 95926-4018
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Country | US
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Telephone | 858-525-1665
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JANET L WHITNEY
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Credential | DO
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Telephone | 858-525-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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