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General NPI Number Information
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NPI Number | 1700608262
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Entity Type | Organization
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Legal Business Name | PEONIES AESTHETICS & WELLNESS SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 500 SUN VALLEY DR STE E1
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City | ROSWELL
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State | GA
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Zip | 30076-5637
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Country | US
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Telephone | 404-904-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 980 BIRMINGHAM ROAD SUITE 501 #264
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City | MILTON
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State | GA
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Zip | 30004
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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 | NURSE PRACTITIONER
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Name | PRECIOUS SONAIKE
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Credential |
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Telephone | 404-904-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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