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General NPI Number Information
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NPI Number | 1174417877
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Entity Type | Organization
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Legal Business Name | LUXE AESTHETICS & WELLNESS, LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 221 HOSPITAL RD
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City | RED BAY
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State | AL
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Zip | 35582-3858
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Country | US
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Telephone | 256-376-2032
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Fax |
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Provider Business Mailing Address
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Address Line | 711 NEWELL RD
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City | RED BAY
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State | AL
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Zip | 35582-3502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | DEVIN FANCHER
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Credential | NP
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Telephone | 256-376-2032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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