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General NPI Number Information
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NPI Number | 1881131613
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Entity Type | Organization
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Legal Business Name | SKIN AND BEAUTY CENTER (SBC), INC. - GLENDALE
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 1818 VERDUGO BLVD STE 304
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City | GLENDALE
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State | CA
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Zip | 91208-1444
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Country | US
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Telephone | 818-790-3588
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Fax | 323-935-8804
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Provider Business Mailing Address
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Address Line | PO BOX 840853
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City | LOS ANGELES
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State | CA
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Zip | 90084-0853
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Country | US
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Telephone | 778-222-2238
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Fax | 818-842-3208
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JENNIFER MONES
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Credential |
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Telephone | 818-842-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | CA
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