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General NPI Number Information
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NPI Number | 1588908107
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Entity Type | Organization
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Legal Business Name | AESTHETIC PLUS
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 2304 MIDWAY RD STE C
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-473-8880
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Fax | 972-473-8882
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Provider Business Mailing Address
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Address Line | 2304 MIDWAY RD STE C
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City | PLANO
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State | TX
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Zip | 75093-1611
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Country | US
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Telephone | 972-473-8880
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Fax | 972-473-8882
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Authorized Official
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Title or Position | ASSISTANT
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Name | MELISSA CARTER
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Credential |
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Telephone | 972-473-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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