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NPI 1306866611

NPI 1306866611 : AESTHETIC SURGERY ASSOCIATES : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1306866611
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    Entity Type          |    Organization 
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    Legal Business Name  |    AESTHETIC SURGERY ASSOCIATES 
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Dates
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    Enumeration Date     |    07/20/2006
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    Last Update Date     |    10/30/2024
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Provider Practice Location Address
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    Address Line         |    250 CETRONIA RD SUITE 301
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104-9168
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    Country              |    US
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    Telephone            |    610-437-2378
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    Fax                  |    610-820-9983
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Provider Business Mailing Address
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    Address Line         |    250 CETRONIA RD. SUITE 301
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104-9168
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    Country              |    US
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    Telephone            |    610-437-2378
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    Fax                  |    610-820-9983
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     BETH  APPLETON 
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    Credential           |    
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    Telephone            |    484-223-0313
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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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Taxonomy #2
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    Taxonomy Code        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    
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    License Number State |    
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