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General NPI Number Information
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NPI Number | 1326510538
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Entity Type | Organization
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Legal Business Name | FLAWLESS BEAUTY
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 3000 CONNECTICUT AVE NW STE 135
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City | WASHINGTON
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State | DC
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Zip | 20008-2533
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Country | US
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Telephone | 202-808-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 20338 BRENTMEADE TER
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City | STERLING
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State | VA
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Zip | 20165-6456
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Country | US
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Telephone | 703-203-2590
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ZAHRA MOHSENI
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Credential |
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Telephone | 703-203-2590
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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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