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General NPI Number Information
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NPI Number | 1538754080
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Entity Type | Organization
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Legal Business Name | FLAWLESS AESTHETICS, INC
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 03/06/2021
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Provider Practice Location Address
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Address Line | 1601 JOHNS LAKE RD APT 225
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City | CLERMONT
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State | FL
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Zip | 34711-6657
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Country | US
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Telephone | 939-383-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 JOHNS LAKE RD APT 225
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City | CLERMONT
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State | FL
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Zip | 34711-6657
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Country | US
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Telephone | 939-383-9927
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Fax |
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Authorized Official
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Title or Position | ARNP/OWNER
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Name | KARLA YANITZA RODRIGUEZ GARCIA
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Credential | ARNP
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Telephone | 939-383-9927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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