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NPI 1962368696

NPI 1962368696 : SAKARI WOUND SPECIALISTS, A PROFESSIONAL NURSING CORPORATION : REDLANDS, CA

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General NPI Number Information
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    NPI Number           |    1962368696
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAKARI WOUND SPECIALISTS, A PROFESSIONAL NURSING CORPORATION 
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Dates
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    Enumeration Date     |    12/26/2025
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    Last Update Date     |    12/26/2025
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Provider Practice Location Address
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    Address Line         |    25864 BUSINESS CENTER DR STE C 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92374-4515
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    Country              |    US
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    Telephone            |    213-495-4587
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    Fax                  |    213-855-0800
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Provider Business Mailing Address
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    Address Line         |    468 MYRTLEWOOD DR 
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    City                 |    CALIMESA
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    State                |    CA
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    Zip                  |    92320-1503
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    Country              |    US
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    Telephone            |    213-495-4587
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    Fax                  |    213-855-0800
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. JUNETTE EVANS AUSTRIA CACHO 
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    Credential           |    APRN, FNP-BC
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    Telephone            |    213-495-4587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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