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General NPI Number Information
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NPI Number | 1881527349
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Entity Type | Organization
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Legal Business Name | BLUE ROSE -AESTHETICS AND WELLNESS, PLLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 2401 E MISSOURI AVE
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City | EL PASO
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State | TX
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Zip | 79903-3803
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Country | US
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Telephone | 915-588-9508
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Fax | 949-909-0886
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | CANUTILLO
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State | TX
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Zip | 79835-0086
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Country | US
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Telephone | 915-588-9508
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Fax | 949-909-0886
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Authorized Official
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Title or Position | OWNER
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Name | CECILIA MARQUEZ
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Credential | APRN,FNP-C
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Telephone | 915-588-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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