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General NPI Number Information
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NPI Number | 1629997895
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Entity Type | Organization
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Legal Business Name | SKINMD DERMATOLOGY AND COSMETICS LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 5035 AIRLINE HWY STE 103
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City | BATON ROUGE
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State | LA
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Zip | 70805-1715
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Country | US
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Telephone | 225-810-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 N CICERO AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-1855
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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 | OWNER
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Name | DR. JESSICA CHU
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Credential | MD
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Telephone | 225-810-5312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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