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General NPI Number Information
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NPI Number | 1891624797
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Entity Type | Organization
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Legal Business Name | SWEET TRIP ELECTROLYSIS LLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 1720 NW LOVEJOY ST # 329
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City | PORTLAND
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State | OR
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Zip | 97209-2346
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Country | US
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Telephone | 503-928-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 925 NW HOYT ST APT 323
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City | PORTLAND
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State | OR
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Zip | 97209-3249
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Country | US
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Telephone | 858-888-6611
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Fax |
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Authorized Official
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Title or Position | ELECTROLOGIST
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Name | NOA ROZENBERG
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Credential |
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Telephone | 858-888-6611
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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 |
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