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General NPI Number Information
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NPI Number | 1851046601
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Entity Type | Organization
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Legal Business Name | BEST MEDSPA LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 426 KEVIN WAY
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City | MATTESON
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State | IL
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Zip | 60443-1182
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Country | US
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Telephone | 773-216-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 426 KEVIN WAY
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City | MATTESON
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State | IL
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Zip | 60443-1182
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Country | US
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Telephone | 773-216-3223
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TAWAKALIT ALAO
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Credential | MSN, APRN, NP-C
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Telephone | 773-216-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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