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1073487633 NPI number — LUXE BEAUTY & AESTHETICS LLC

NPI Number: 1073487633
Health Care Provider/Practitioner: LUXE BEAUTY & AESTHETICS LLC

Information about “1073487633” NPI (LUXE BEAUTY & AESTHETICS LLC) exists in 1073487633 in HTML format HTML  |  1073487633 in plain Text format TXT  |  1073487633 in PDF (Portable Document Format) PDF  |  1073487633 in an XML format XML  formats.

NPI Number : 1073487633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073487633",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LUXE BEAUTY & AESTHETICS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "219 FAIRVIEW AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMDEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06514-4703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-996-8049",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1231 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MERIDEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06450-4836",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-996-8049",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2025",
    "LastUpdateDate": "10/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GHOLSTON",
    "AuthorizedOfficialFirstName": "ERICA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "203-996-8049",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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