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General NPI Number Information
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NPI Number | 1770445793
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Entity Type | Organization
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Legal Business Name | IN MY SKIN LIFE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 7810 FM 1960 RD E STE 104
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City | HUMBLE
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State | TX
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Zip | 77346-2252
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Country | US
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Telephone | 281-904-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 12327 CLUNIE PASS DR
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City | HUMBLE
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State | TX
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Zip | 77346-4251
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Country | US
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Telephone | 281-904-5835
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELITA REYNOLDS
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Credential | LMT
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Telephone | 281-904-5834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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