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General NPI Number Information
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NPI Number | 1700703246
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Entity Type | Organization
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Legal Business Name | ALLIES AESTHETICS LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 341 NEWBERRY ST NW
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City | AIKEN
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State | SC
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Zip | 29801-3929
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Country | US
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Telephone | 803-649-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 BUFFALO TRL
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City | EVANS
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State | GA
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Zip | 30809-0959
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Country | US
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Telephone | 530-415-9862
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DR. ALLICIA LUCICH
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Credential | DMD
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Telephone | 530-415-9862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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