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General NPI Number Information
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NPI Number | 1154296374
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Entity Type | Organization
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Legal Business Name | NICOLES ELECTROLYSIS, INC.
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1675 ALHAMBRA BLVD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-7178
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Country | US
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Telephone | 209-294-0634
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Fax | 916-246-6422
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Provider Business Mailing Address
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Address Line | 1517 G ST APT I
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City | SACRAMENTO
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State | CA
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Zip | 95814-1649
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Country | US
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Telephone | 209-294-0634
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Fax | 916-246-6422
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE BAIN
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Credential | LE
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Telephone | 209-294-0634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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