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General NPI Number Information
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NPI Number | 1952292625
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Entity Type | Organization
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Legal Business Name | ESSENTIAL AESTHETICS & HEALTH, LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1975 E SUNRISE BLVD STE 615
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1453
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Country | US
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Telephone | 754-778-7375
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 NW 46TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4024
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Country | US
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Telephone | 954-628-6807
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ESHA LESTRADE
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Credential |
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Telephone | 547-778-7375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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