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General NPI Number Information
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NPI Number | 1447972302
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Entity Type | Organization
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Legal Business Name | L'AZURE SPA
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 85 N 3RD ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3944
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Country | US
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Telephone | 631-707-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 922 GREENE AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-2302
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Country | US
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Telephone | 631-707-1007
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATACHA COHEN
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Credential | PA
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Telephone | 631-707-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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