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General NPI Number Information
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NPI Number | 1780583369
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Entity Type | Organization
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Legal Business Name | KM HEALTH & AESTHETICS
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 113 W JERSEY AVE
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City | PITMAN
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State | NJ
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Zip | 08071-1129
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Country | US
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Telephone | 267-591-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 209 WOODLINE CT
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2435
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Country | US
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Telephone | 267-591-7030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KASEY NICOLE MATHEWS
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Credential | NURSE PRACTITIONER
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Telephone | 267-591-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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