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General NPI Number Information
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NPI Number | 1659216695
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Entity Type | Organization
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Legal Business Name | PURE ESSENCE CENTER FOR WELLNESS AND AESTHETICS
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 524 WOLCOTT RD
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City | WOLCOTT
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State | CT
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Zip | 06716-2430
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Country | US
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Telephone | 203-721-5111
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Fax | 203-297-9131
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Provider Business Mailing Address
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Address Line | 524 WOLCOTT RD
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City | WOLCOTT
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State | CT
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Zip | 06716-2430
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Country | US
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Telephone | 203-721-5111
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Fax | 203-297-9131
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN P SALERNO
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Credential | MD
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Telephone | 203-721-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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