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General NPI Number Information
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NPI Number | 1255120218
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Entity Type | Organization
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Legal Business Name | WOMEN'S WELLNESS & AESTHETICS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 330 HIGHWAY 5 N STE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3039
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Country | US
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Telephone | 870-232-0900
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Fax | 870-232-0888
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Provider Business Mailing Address
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Address Line | 330 HIGHWAY 5 N STE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3039
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Country | US
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Telephone | 870-232-0900
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Fax | 870-232-0888
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | DR. LARA MAY
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Credential | DNP
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Telephone | 870-232-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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