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General NPI Number Information
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NPI Number | 1922965151
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Entity Type | Organization
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Legal Business Name | BELLA D HEALTH AND AESTHETICS LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 800 W 5TH AVE STE 211C
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City | NAPERVILLE
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State | IL
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Zip | 60563-8965
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Country | US
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Telephone | 815-608-3481
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W 5TH AVE STE 211C
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City | NAPERVILLE
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State | IL
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Zip | 60563-8965
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Country | US
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Telephone | 815-608-3481
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOLLY AGBA
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Credential | ANP
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Telephone | 815-608-3481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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