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General NPI Number Information
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NPI Number | 1386569044
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Entity Type | Organization
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Legal Business Name | H2O AESTHETICS AND WELLNESS, LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 3303 BOULEVARD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1415
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Country | US
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Telephone | 833-575-4562
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Fax | 804-207-8912
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Provider Business Mailing Address
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Address Line | PO BOX 1020
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1020
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Country | US
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Telephone | 833-575-4562
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Fax | 804-207-8912
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Authorized Official
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Title or Position | OWNER
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Name | JUDY HALE
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Credential |
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Telephone | 833-575-4562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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