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General NPI Number Information
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NPI Number | 1760343792
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Entity Type | Organization
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Legal Business Name | ETERNA HEALTH: AESTHETIC AND REGENERATIVE MEDICINE
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 304 COFFEEN AVE STE B
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City | SHERIDAN
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State | WY
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Zip | 82801-4803
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Country | US
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Telephone | 307-429-0746
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Fax | 855-719-2542
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Provider Business Mailing Address
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Address Line | 304 COFFEEN AVE STE B
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City | SHERIDAN
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State | WY
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Zip | 82801-4803
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Country | US
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Telephone | 307-429-0746
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Fax | 855-719-2542
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Authorized Official
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Title or Position | OWNER, NP
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Name | SAIJE POLLARD
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Credential | DNP/FNP-C
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Telephone | 307-751-3517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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