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General NPI Number Information
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NPI Number | 1164155594
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Entity Type | Organization
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Legal Business Name | ESSENCE OF BEAUTY HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 07/04/2022
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 220 STATION TER W
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City | MARTINSBURG
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State | WV
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Zip | 25403-4002
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Country | US
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Telephone | 301-328-1583
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1196
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City | FALLING WATERS
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State | WV
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Zip | 25419-1196
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Country | US
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Telephone | 610-850-4713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AISHA REIKOW
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Credential | PMHNP
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Telephone | 610-850-4713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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