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General NPI Number Information
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NPI Number | 1518821123
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Entity Type | Organization
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Legal Business Name | EASTON ADVANCED AESTHETICS AND INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 120 N WEST ST
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City | EASTON
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State | MD
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Zip | 21601-2710
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Country | US
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Telephone | 410-443-0636
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Fax | 410-690-3056
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Provider Business Mailing Address
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Address Line | 120 N WEST ST
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City | EASTON
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State | MD
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Zip | 21601-2710
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Country | US
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Telephone | 410-443-0636
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Fax | 410-690-3056
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | ANN CASAMENTO
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Credential | FNP-C, APRN
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Telephone | 301-602-0725
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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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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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