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General NPI Number Information
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NPI Number | 1780290759
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Entity Type | Organization
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Legal Business Name | REJUVE AESTHETIC & WELLNESS CENTER INC
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 2222 BISSONNET ST STE 103
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City | HOUSTON
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State | TX
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Zip | 77005-2364
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Country | US
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Telephone | 281-658-1045
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Fax | 281-569-4186
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Provider Business Mailing Address
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Address Line | 8202 TEAKWOOD FOREST DR
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City | SPRING
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State | TX
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Zip | 77379-4538
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Country | US
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Telephone | 281-658-1045
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Fax | 281-658-1045
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Authorized Official
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Title or Position | CO-OWNER
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Name | JAMIE L FERRARO
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Credential | APRN, FNP-C
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Telephone | 281-658-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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