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General NPI Number Information
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NPI Number | 1932043692
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Entity Type | Organization
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Legal Business Name | EVOLVE SKIN AND HEALTH
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 10-13 AVE AGUAS BUENAS
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City | BAYAMON
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State | PR
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Zip | 00959-6677
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Country | US
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Telephone | 939-353-8284
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Fax |
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Provider Business Mailing Address
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Address Line | 10-13 AVE AGUAS BUENAS
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City | BAYAMON
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State | PR
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Zip | 00959-6677
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Country | US
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Telephone | 939-353-8284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAHEEN COUNTS
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Credential | MD
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Telephone | 816-809-2452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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