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General NPI Number Information
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NPI Number | 1306655253
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Entity Type | Organization
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Legal Business Name | AESTHETIC HAVEN, LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 300 INDUSTRIAL WAY FL 3
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City | TIVERTON
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State | RI
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Zip | 02878-3133
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Country | US
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Telephone | 401-535-6104
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Fax | 401-340-1885
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Provider Business Mailing Address
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Address Line | 108 AMY HART PATH
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City | LITTLE COMPTON
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State | RI
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Zip | 02837-2034
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Country | US
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Telephone | 401-835-5012
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Fax | 401-340-1885
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Authorized Official
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Title or Position | DOCTORATE OF FNP
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Name | SAMANTHA TURCOTTE
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Credential | DNP, MSN, APRN, FNP
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Telephone | 401-835-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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