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General NPI Number Information
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NPI Number | 1477385599
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Entity Type | Organization
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Legal Business Name | BEAUTY AND HEALTH INCORPORATED
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 2021 MIDWEST RD STE 302
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City | OAK BROOK
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State | IL
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Zip | 60523-1372
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Country | US
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Telephone | 224-407-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 MIDWEST RD STE 302
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City | OAK BROOK
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State | IL
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Zip | 60523-1372
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Country | US
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Telephone | 224-407-2140
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RUTA KHAN
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Credential | APRN
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Telephone | 224-407-2140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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