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General NPI Number Information
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NPI Number | 1720638026
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Entity Type | Organization
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Legal Business Name | VEINART DIAGNOSTICS AND AESTHETICS
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 531 PINE TRL
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City | WILLIAMSTON
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State | SC
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Zip | 29697-9263
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Country | US
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Telephone | 864-376-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 531 PINE TRL
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City | WILLIAMSTON
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State | SC
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Zip | 29697-9263
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Country | US
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Telephone | 864-376-0707
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Fax |
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Authorized Official
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Title or Position | OFFICE
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Name | MOLLY SENTELL
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Credential |
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Telephone | 515-451-6661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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