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General NPI Number Information
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NPI Number | 1730331034
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Entity Type | Organization
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Legal Business Name | THE WOMEN'S AESTHETIC INSTITUTE, LLC
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 10111 W FOREST HILL BLVD SUITE 261
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City | WELLINGTON
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State | FL
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Zip | 33414-6108
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Country | US
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Telephone | 561-798-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 11924 W FOREST HILL BLVD #22-313
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City | WELLINGTON
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State | FL
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Zip | 33414-6256
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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 | MANAGING MEMBER
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Name | DR. SARA J BERNSTEIN
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Credential | M.D.
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Telephone | 561-798-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME79627
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License Number State | FL
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