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General NPI Number Information
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NPI Number | 1134939721
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Entity Type | Organization
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Legal Business Name | SOINS ESTHETIQUES, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2457 WILCOX DR
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City | NORMAN
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State | OK
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Zip | 73069-3956
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Country | US
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Telephone | 405-497-7395
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Fax | 810-202-7375
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Provider Business Mailing Address
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Address Line | 123 ALAMOSA RD
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City | NORMAN
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State | OK
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Zip | 73069-3126
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Country | US
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Telephone | 405-301-5802
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JESSICA COLLETT
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Credential | MSN, APRN
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Telephone | 405-301-5802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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