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General NPI Number Information
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NPI Number | 1942920210
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Entity Type | Organization
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Legal Business Name | TAKE CARE MEDSPA LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1249 BRUCE B DOWNS BLVD STE 23
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9261
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Country | US
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Telephone | 813-330-0648
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Fax |
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Provider Business Mailing Address
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Address Line | 1249 BRUCE B DOWNS BLVD STE 23
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9261
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Country | US
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Telephone | 813-330-0648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PAULA JOSEPG
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Credential | NP
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Telephone | 954-692-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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