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General NPI Number Information
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NPI Number | 1689193716
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Entity Type | Organization
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Legal Business Name | NU-ME AESTHETIC & ANTI-AGING CENTER
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Dates
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Enumeration Date | 09/09/2017
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Last Update Date | 09/09/2017
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Provider Practice Location Address
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Address Line | 20301 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2447
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Country | US
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Telephone | 818-914-5570
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Fax | 818-914-5569
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Provider Business Mailing Address
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Address Line | 20301 VENTURA BLVD #250
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2447
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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 | M.D.
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Name | VIRGINIA AGUILAR
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Credential |
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Telephone | 818-914-5570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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