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General NPI Number Information
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NPI Number | 1609712322
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Entity Type | Organization
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Legal Business Name | SKIN HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 1811 SW 39TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33914-5520
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Country | US
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Telephone | 305-333-8982
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 SW 39TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33914-5520
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Country | US
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Telephone | 305-333-8982
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Fax |
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | MAGDA RIVAS
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Credential | APRN
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Telephone | 305-333-8982
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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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