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General NPI Number Information
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NPI Number | 1346116548
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Entity Type | Organization
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Legal Business Name | AQUA BEAUTY AND BODY LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4715 NW 157TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6435
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Country | US
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Telephone | 305-813-3700
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Fax | 305-813-3700
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Provider Business Mailing Address
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Address Line | 4715 NW 157TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6435
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Country | US
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Telephone | 305-813-3700
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Fax | 305-813-3700
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Authorized Official
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Title or Position | OWNER
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Name | BRIGITTE GUILLOTTI
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Credential |
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Telephone | 305-813-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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