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General NPI Number Information
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NPI Number | 1023970787
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Entity Type | Organization
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Legal Business Name | BELLA ROS MEDICAL AESTHETICS & WELLNESS
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2440 SE FEDERAL HWY STE 600
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 941-205-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 SE FEDERAL HWY STE 600
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 941-205-9787
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Fax |
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Authorized Official
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Title or Position | OWNER, NP
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Name | STEPHANIE ROSE TIPPETT
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Credential | CRNP, FNP-C, CANS
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Telephone | 941-205-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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