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General NPI Number Information
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NPI Number | 1538080684
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Entity Type | Organization
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Legal Business Name | DERMALIER CLINIC LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 10140 CLEAR VISTA ST
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City | ORLANDO
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State | FL
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Zip | 32832-7151
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Country | US
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Telephone | 407-900-7784
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Fax |
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Provider Business Mailing Address
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Address Line | 10140 CLEAR VISTA ST STE 4
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City | ORLANDO
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State | FL
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Zip | 32832-7151
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Country | US
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Telephone | 407-900-7784
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Fax | 407-340-1026
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Authorized Official
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Title or Position | OWNER AND NP
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Name | VANESSA C PEIXOTO
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Credential | NP
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Telephone | 407-900-7784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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