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General NPI Number Information
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NPI Number | 1396627147
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Entity Type | Organization
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Legal Business Name | VIDA AESTHETICS LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1221 28TH AVE UNIT 7
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City | GREELEY
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State | CO
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Zip | 80634-5466
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Country | US
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Telephone | 970-702-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 35TH AVENUE PL
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City | GREELEY
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State | CO
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Zip | 80634-6843
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA KUHN
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Credential |
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Telephone | 970-702-8027
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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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