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General NPI Number Information
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NPI Number | 1144025131
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Entity Type | Organization
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Legal Business Name | MANCHESTER AESTHETICS, PLLC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 25 HIGHLAND AVE
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3867
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Country | US
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Telephone | 978-463-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HIGHWOOD RD
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City | MANCHESTER BY THE SEA
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State | MA
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Zip | 01944-1013
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Country | US
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Telephone | 978-525-8376
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN KENT KLINK
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Credential | MD
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Telephone | 978-525-8376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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