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General NPI Number Information
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NPI Number | 1568806263
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Entity Type | Organization
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Legal Business Name | NATURAL SKIN SOLUTIONS
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 9180 E DESERT COVE DR 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6254
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Country | US
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Telephone | 480-993-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 9180 E DESERT COVE DR 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6254
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Country | US
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Telephone | 480-993-3331
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT / OWNER
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Name | SARAH ELIZABETH NEUMANN
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Credential | MMS, PA-C
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Telephone | 480-993-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12532
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License Number State | AZ
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