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General NPI Number Information
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NPI Number | 1831951078
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Entity Type | Organization
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Legal Business Name | 931 SKIN CO AESTHETICS & WELLNESS PLLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1324 TROTWOOD AVE STE 1
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City | COLUMBIA
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State | TN
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Zip | 38401-4750
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Country | US
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Telephone | 931-629-1082
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 TROTWOOD AVE STE 1
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City | COLUMBIA
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State | TN
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Zip | 38401-4750
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA ANNE SCOTT
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Credential | MSN, APRN, FNP-C
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Telephone | 931-629-1082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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