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General NPI Number Information
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NPI Number | 1629857818
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Entity Type | Organization
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Legal Business Name | JOHARA AESTHETICS AND WELLNESS PLLC
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 26622 COOK FIELD RD STE 500
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City | KATY
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State | TX
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Zip | 77494-1138
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Country | US
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Telephone | 832-775-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 DRIPPING SPRINGS CT
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City | KATY
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State | TX
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Zip | 77494-7846
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Country | US
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Telephone | 832-775-8925
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARAH KATAMBA
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Credential |
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Telephone | 508-847-1682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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