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General NPI Number Information
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NPI Number | 1124995618
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Entity Type | Organization
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Legal Business Name | BELLUS MEDICAL AESTHETICS AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 3108 S BROADWAY STE H
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City | MINOT
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State | ND
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Zip | 58701-3127
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Country | US
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Telephone | 701-509-5614
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Fax | 888-232-1882
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Provider Business Mailing Address
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Address Line | 3108 S BROADWAY STE H
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City | MINOT
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State | ND
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Zip | 58701-3127
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Country | US
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Telephone | 701-509-5614
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Fax | 888-232-1882
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | NATASHA SHIPMAN
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Credential | NP
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Telephone | 701-509-5614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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