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General NPI Number Information
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NPI Number | 1699449470
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Entity Type | Organization
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Legal Business Name | INSPIRED BEAUTY LLC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 7606 BRISTON PARK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4711
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Country | US
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Telephone | 210-995-0194
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Fax |
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Provider Business Mailing Address
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Address Line | 7606 BRISTON PARK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4711
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Country | US
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Telephone | 210-995-0194
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CRYSTAL E YANG
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Credential |
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Telephone | 210-995-0194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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