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General NPI Number Information
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NPI Number | 1447053707
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Entity Type | Organization
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Legal Business Name | PEARL AESTHETICS & WELLNESS
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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 | 664 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3906
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Country | US
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Telephone | 740-652-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 664 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3906
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Country | US
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Telephone | 740-652-4177
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TIFFANY DUNBAR
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Credential | APRN, FNP-C
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Telephone | 740-652-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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