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General NPI Number Information
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NPI Number | 1437058708
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND CARE INSTITUTE INC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 4234 RIVERWALK PKWY STE 120
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City | RIVERSIDE
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State | CA
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Zip | 92505-3304
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Country | US
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Telephone | 951-773-4292
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Fax |
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Provider Business Mailing Address
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Address Line | 4234 RIVERWALK PKWY STE 120
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City | RIVERSIDE
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State | CA
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Zip | 92505-3304
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Country | US
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Telephone | 951-773-4292
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAULINA A MENDOZA-MANCINI
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Credential | DO
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Telephone | 951-773-4293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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