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General NPI Number Information
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NPI Number | 1891623401
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Entity Type | Organization
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Legal Business Name | ERA AESTHETICS
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3150 HIGHLANDS PKWY SE STE 107
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City | SMYRNA
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State | GA
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Zip | 30082-7259
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Country | US
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Telephone | 678-878-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 HIGHLANDS PKWY SE STE 107
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City | SMYRNA
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State | GA
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Zip | 30082-7259
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Country | US
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Telephone | 678-878-0048
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ELISA NORMAN
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Credential | MBA/MSW
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Telephone | 404-927-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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