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General NPI Number Information
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NPI Number | 1215886148
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Entity Type | Organization
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Legal Business Name | OFFICIAL HOUSE OF AESTHETICS, P.C.
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 668 BETHLEHEM PIKE STE 208
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9711
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Country | US
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Telephone | 215-436-9505
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Fax |
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Provider Business Mailing Address
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Address Line | 210 HASTINGS CT
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2547
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Country | US
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Telephone | 608-408-6113
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Fax |
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Authorized Official
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Title or Position | OWNER & MEDICAL DIRECTOR
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Name | ADEL HAQUE
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Credential | BS, MD, FAAD
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Telephone | 678-733-2428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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