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NPI 1619630902

NPI 1619630902 : AESTHETICS RECOVERY INTERVENTIONS, LLC : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1619630902
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    Entity Type          |    Organization 
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    Legal Business Name  |    AESTHETICS RECOVERY INTERVENTIONS, LLC 
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Dates
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    Enumeration Date     |    10/14/2021
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    Last Update Date     |    10/14/2021
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Provider Practice Location Address
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    Address Line         |    318 ADLER DR 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36116-3712
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    Country              |    US
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    Telephone            |    334-303-0437
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    318 ADLER DR 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36116-3712
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    Country              |    US
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    Telephone            |    334-303-0437
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. AURIELE KRISTINE VANBUREN 
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    Credential           |    REGISTERED NURSE
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    Telephone            |    334-303-0437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WC1500X
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    Taxonomy Name        |    Community Health Registered Nurse
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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        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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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        |    163WI0600X
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    Taxonomy Name        |    Infection Control Registered Nurse
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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        |    163WM1400X
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    Taxonomy Name        |    Nurse Massage Therapist (NMT)
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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        |    163WN1003X
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    Taxonomy Name        |    Nutrition Support Registered Nurse
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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        |    163WP2201X
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    Taxonomy Name        |    Ambulatory Care Registered Nurse
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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        |    163WR0400X
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    Taxonomy Name        |    Rehabilitation Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    163WS0121X
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    Taxonomy Name        |    Plastic Surgery Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    163WW0101X
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    Taxonomy Name        |    Ambulatory Women's Health Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    163WX1500X
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    Taxonomy Name        |    Ostomy Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    
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    License Number State |    
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