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General NPI Number Information
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NPI Number | 1861560880
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Entity Type | Organization
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Legal Business Name | THE AESTHETIC CENTER FOR PLASTIC SURGERY, LLP
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12727 KIMBERLEY LN SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77024-4047
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Country | US
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Telephone | 713-799-9999
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Fax | 713-722-8998
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Provider Business Mailing Address
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Address Line | 12727 KIMBERLEY LN SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77024-4047
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Country | US
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Telephone | 713-799-9999
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Fax | 713-722-8998
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. KAREN E. HUSMANN
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Credential | MBA
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Telephone | 713-799-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | TX
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