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General NPI Number Information
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NPI Number | 1376402081
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Entity Type | Organization
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Legal Business Name | THE SKIN HOUR
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 11175 AZUSA CT STE 110
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4933
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Country | US
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Telephone | 928-276-0484
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Fax |
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Provider Business Mailing Address
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Address Line | 11175 AZUSA CT STE 110
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4933
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Country | US
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Telephone | 928-276-0484
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BEHROZ HAMKAR
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Credential | MD
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Telephone | 951-734-9108
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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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