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General NPI Number Information
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NPI Number | 1699421917
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Entity Type | Organization
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Legal Business Name | AESTHETICALLY YOURS INC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 2190 LYNN RD STE 380B
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 818-964-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 2190 LYNN RD STE 380B
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 818-964-0921
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MUHAMMAD ASIF TAQI
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Credential | MD
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Telephone | 818-984-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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