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General NPI Number Information
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NPI Number | 1811726862
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Entity Type | Organization
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Legal Business Name | STAT MEDICAL AND WOUND CARE SPECIALISTS INC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 18531 ROSCOE BLVD STE 208 A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-5461
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Country | US
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Telephone | 818-934-4225
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Fax | 818-934-4228
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Provider Business Mailing Address
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Address Line | 18531 ROSCOE BLVD STE 208 A
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City | NORTHRIDGE
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State | CA
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Zip | 91324-5461
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Country | US
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Telephone | 818-934-4225
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Fax | 818-934-4228
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | AURELIA B AZANA
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Credential | RN
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Telephone | 818-934-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery 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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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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