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General NPI Number Information
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NPI Number | 1225900194
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Entity Type | Organization
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Legal Business Name | BEAUTIFY LLC
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 122 S GOLD AVE STE D
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City | DEMING
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State | NM
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Zip | 88030-3755
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Country | US
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Telephone | 575-642-3396
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Fax |
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Provider Business Mailing Address
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Address Line | 122 S GOLD AVE STE D
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City | DEMING
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State | NM
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Zip | 88030-3755
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Country | US
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Telephone | 575-642-3396
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTIONER
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Name | DANIELLE REGALADO
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Credential | FNP-BC
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Telephone | 575-642-3396
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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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