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General NPI Number Information
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NPI Number | 1225992019
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Entity Type | Organization
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Legal Business Name | YOUR AESTHETIC EDGE PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 6909 GRAND BLVD
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City | HOUSTON
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State | TX
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Zip | 77054-2203
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Country | US
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Telephone | 281-200-0525
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Fax | 617-219-3151
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Provider Business Mailing Address
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Address Line | 6909 GRAND BLVD
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City | HOUSTON
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State | TX
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Zip | 77054-2203
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Country | US
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Telephone | 281-200-0525
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Fax | 617-219-3151
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. MIHAIL CLIMOV
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Credential | MD
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Telephone | 281-200-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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