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General NPI Number Information
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NPI Number | 1356144547
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Entity Type | Organization
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Legal Business Name | LAB SKIN MED SPA LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 373 NE 167TH ST
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-2305
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Country | US
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Telephone | 786-916-3482
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Fax | 786-916-6093
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Provider Business Mailing Address
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Address Line | 373 NE 167TH ST
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-2305
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Country | US
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Telephone | 786-916-3482
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Fax | 786-916-6093
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Authorized Official
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Title or Position | OWNER
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Name | SINDY DELGADO
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Credential |
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Telephone | 786-443-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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