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General NPI Number Information
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NPI Number | 1467160259
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Entity Type | Organization
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Legal Business Name | BEAUTE PAR CO
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1913 E FIRE TOWER RD STE J
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City | GREENVILLE
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State | NC
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Zip | 27858-4127
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Country | US
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Telephone | 252-258-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 E FIRE TOWER RD STE J
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City | GREENVILLE
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State | NC
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Zip | 27858-4127
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Country | US
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Telephone | 252-258-4143
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | CAROLINE C OBREGON
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Credential | NP
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Telephone | 252-258-4143
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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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