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NPI 1588518450

NPI 1588518450 : MERLEAUX AESTHETIC SOLUTIONS CO : BAY ST LOUIS, MS

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General NPI Number Information
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    NPI Number           |    1588518450
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERLEAUX AESTHETIC SOLUTIONS CO 
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Dates
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    Enumeration Date     |    02/25/2026
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    Last Update Date     |    02/25/2026
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Provider Practice Location Address
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    Address Line         |    412 HIGHWAY 90 STE 2 
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    City                 |    BAY ST LOUIS
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    State                |    MS
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    Zip                  |    39520-3534
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    Country              |    US
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    Telephone            |    228-297-2068
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    Fax                  |    228-344-3031
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Provider Business Mailing Address
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    Address Line         |    412 HIGHWAY 90 STE 2 
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    City                 |    BAY ST LOUIS
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    State                |    MS
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    Zip                  |    39520-3534
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    Country              |    US
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    Telephone            |    228-297-2068
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    Fax                  |    228-344-3031
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MRS. KIMBERLY B. MERRILL 
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    Credential           |    
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    Telephone            |    228-297-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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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        |    2083A0300X
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    Taxonomy Name        |    Addiction Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2083B0002X
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    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    202D00000X
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    Taxonomy Name        |    Integrative Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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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Taxonomy #7
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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