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General NPI Number Information
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NPI Number | 1013668581
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Entity Type | Organization
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Legal Business Name | CREATIVE AESTHETICS LLC
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Dates
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Enumeration Date | 01/15/2022
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 19239 W ECHO LN
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City | WADDELL
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State | AZ
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Zip | 85355-9903
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Country | US
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Telephone | 602-781-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 19239 W ECHO LN
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City | WADDELL
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State | AZ
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Zip | 85355-9903
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Country | US
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Telephone | 602-781-4176
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. ROBERT WESTERMAN
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Credential | DNP
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Telephone | 602-781-4176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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