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General NPI Number Information
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NPI Number | 1083535330
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Entity Type | Organization
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Legal Business Name | BEAUTY & BODY ACADEMY
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 647 BOUND BROOK RD STE 2
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2188
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Country | US
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Telephone | 732-474-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 647 BOUND BROOK RD STE 2
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2188
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Country | US
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Telephone | 732-474-0013
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANTEL OFARRELL
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Credential |
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Telephone | 908-502-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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