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General NPI Number Information
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NPI Number | 1912625351
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Entity Type | Organization
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Legal Business Name | PRECISION CARE AND WELLNESS LLC DBA LAVISH WELLNESS AND AESTHETICS
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2060 LIMESTONE RD STE 205
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City | WILMINGTON
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State | DE
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Zip | 19808-5530
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Country | US
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Telephone | 302-604-3448
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Fax | 302-235-8151
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Provider Business Mailing Address
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Address Line | 2060 LIMESTONE RD STE 205
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City | WILMINGTON
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State | DE
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Zip | 19808-5530
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Country | US
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Telephone | 302-604-3448
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Fax | 302-235-8151
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Authorized Official
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Title or Position | CEO
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Name | TAYLOR BURGE
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Credential | FNP
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Telephone | 302-604-3448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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