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General NPI Number Information
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NPI Number | 1699667618
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Entity Type | Organization
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Legal Business Name | REMEDY SKIN, HAIR AND WELLNESS PLLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 4417 OGLUKIAN RD
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City | CHARLOTTE
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State | NC
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Zip | 28226-5119
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Country | US
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Telephone | 980-983-3989
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Fax | 980-966-5737
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Provider Business Mailing Address
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Address Line | 1235 EAST BLVD SUITE E #436
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City | CHARLOTTE
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State | NC
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Zip | 28203
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Country | US
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Telephone | 980-983-3989
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Fax | 980-966-5737
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | ALYSSA SEARLES DANIEL
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Credential | MD
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Telephone | 980-983-3989
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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 |
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License Number State |
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