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General NPI Number Information
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NPI Number | 1487118451
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Entity Type | Organization
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Legal Business Name | BEAUTY EMPOWER RX LLC
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 3545 CHAIN BRIDGE RD STE 102
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City | FAIRFAX
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State | VA
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Zip | 22030-2708
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Country | US
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Telephone | 571-732-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 3366 BANNERWOOD DR
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City | ANNANDALE
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State | VA
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Zip | 22003-1219
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Country | US
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Telephone | 410-474-1588
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TEAL DYE
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Credential |
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Telephone | 410-474-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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