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General NPI Number Information
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NPI Number | 1962973727
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Entity Type | Organization
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Legal Business Name | PARIS BEST KEPT SECRET MED SPA, LLC
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 604 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4419
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Country | US
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Telephone | 903-706-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 604 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4419
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Country | US
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Telephone | 903-706-5141
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MRS. KAREY ASAY
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Credential | NP-C
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Telephone | 903-706-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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