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General NPI Number Information
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NPI Number | 1104768639
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Entity Type | Organization
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Legal Business Name | JULIE MARIE AESTHETICS LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 4521 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2603
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Country | US
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Telephone | 361-299-5317
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Fax | 361-431-1103
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Provider Business Mailing Address
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Address Line | 4521 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2603
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Country | US
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Telephone | 361-299-5317
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Fax | 361-431-1103
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Authorized Official
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Title or Position | OWNER
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Name | JULIE VASQUEZ
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Credential |
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Telephone | 210-862-8849
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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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