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General NPI Number Information
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NPI Number | 1518756550
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Entity Type | Organization
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Legal Business Name | PRIME AESTHETICS AND WELLNESS, PLLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 301 E AUDIE MURPHY PKWY STE B
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City | FARMERSVILLE
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State | TX
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Zip | 75442-2713
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Country | US
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Telephone | 972-782-5043
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Fax | 972-435-4374
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Provider Business Mailing Address
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Address Line | 604 STATE HIGHWAY 78 N STE 103
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City | FARMERSVILLE
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State | TX
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Zip | 75442-1032
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Country | US
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Telephone | 972-782-5043
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Fax | 972-435-4374
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. STEPHANIE BUSH
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Credential | APRN, FNP-C
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Telephone | 214-551-2680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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