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General NPI Number Information
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NPI Number | 1023681681
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Entity Type | Organization
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Legal Business Name | FACE AND BODY SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1850 SIERRA GARDENS DR STE 8
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City | ROSEVILLE
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State | CA
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Zip | 95661-2912
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Country | US
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Telephone | 916-996-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 SIERRA GARDENS DR STE 8
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City | ROSEVILLE
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State | CA
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Zip | 95661-2912
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Country | US
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Telephone | 916-996-3435
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA CLORIS KIAN
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Credential | L.E., CMA., AASOSH
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Telephone | 916-996-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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