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General NPI Number Information
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NPI Number | 1679991327
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Entity Type | Organization
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Legal Business Name | SKIN OF ALL COLOR, LLC
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 10 FORRESTAL RD S STE 101
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City | PRINCETON
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State | NJ
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Zip | 08540-6666
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Country | US
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Telephone | 609-250-7198
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FORRESTAL RD S STE 101
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City | PRINCETON
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State | NJ
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Zip | 08540-6666
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Country | US
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Telephone | 609-250-7198
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NEH ONUMAH
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Credential | M.D.
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Telephone | 609-250-7198
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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 | 25MA08676000
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License Number State | NJ
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