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General NPI Number Information
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NPI Number | 1821804667
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Entity Type | Organization
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Legal Business Name | TRUE WELLNESS AND AESTHETICS, PLLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2610 TPC PKWY STE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2394
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Country | US
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Telephone | 210-819-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 3607 IVORY CRK
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City | SAN ANTONIO
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State | TX
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Zip | 78258-1621
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Country | US
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Telephone | 210-355-8818
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | ROCHELE NICOLAS-WEDIGE
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Credential | APRN, MSN, FNP-BC
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Telephone | 210-355-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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