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General NPI Number Information
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NPI Number | 1942028378
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Entity Type | Organization
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Legal Business Name | SKIN10, LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3266 DRUSILLA LN STE A-6
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City | BATON ROUGE
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State | LA
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Zip | 70809-1862
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Country | US
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Telephone | 225-335-6800
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Fax | 225-325-3470
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Provider Business Mailing Address
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Address Line | 3266 DRUSILLA LN STE A-6
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City | BATON ROUGE
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State | LA
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Zip | 70809-1862
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Country | US
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Telephone | 225-335-6800
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Fax | 225-325-3470
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAYCE LAURIE
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Credential |
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Telephone | 225-978-8444
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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