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General NPI Number Information
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NPI Number | 1861118606
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Entity Type | Organization
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Legal Business Name | HEALTH AND BEAUTY INTEGRATICE CENTER, LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 4370 S TAMIAMI TRL STE 151
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City | SARASOTA
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State | FL
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Zip | 34231-3411
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Country | US
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Telephone | 941-933-9474
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Fax | 941-921-0957
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Provider Business Mailing Address
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Address Line | 4370 S TAMIAMI TRL STE 152
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City | SARASOTA
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State | FL
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Zip | 34231-3412
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Country | US
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Telephone | 941-933-9474
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Fax | 941-921-0957
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. TONY BELILOVSKIY
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Credential |
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Telephone | 781-710-0285
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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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