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General NPI Number Information
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NPI Number | 1629922505
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Entity Type | Organization
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Legal Business Name | AESTHETIQUERX PLLC
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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 | 28 CHURCH ST STE 14
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City | WINCHESTER
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State | MA
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Zip | 01890-2538
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Country | US
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Telephone | 774-203-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 51 COLORADO ST
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City | BOSTON
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State | MA
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Zip | 02126-1425
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TASHIA PRINCE-LACOMBE
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Credential |
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Telephone | 774-203-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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