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General NPI Number Information
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NPI Number | 1659211282
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Entity Type | Organization
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Legal Business Name | MEDICAL AESTHETICS & REJUVENATION PA
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 6565 W SUNSET BLVD STE 211
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City | LOS ANGELES
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State | CA
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Zip | 90028-7206
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Country | US
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Telephone | 866-316-7809
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Fax | 866-316-7809
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Provider Business Mailing Address
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Address Line | 6565 W SUNSET BLVD STE 211
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City | LOS ANGELES
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State | CA
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Zip | 90028-7206
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Country | US
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Telephone | 866-316-7809
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Fax | 866-316-7809
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALBERT DEC
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Credential | DR
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Telephone | 866-316-7809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 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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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number |
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License Number State |
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