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General NPI Number Information
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NPI Number | 1992507875
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Entity Type | Organization
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Legal Business Name | DR MOMS HEALTH AND BEAUTY LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2034 E SOUTHERN AVE STE X
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City | TEMPE
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State | AZ
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Zip | 85282-7519
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Country | US
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Telephone | 801-854-8244
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Fax | 480-604-2634
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Provider Business Mailing Address
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Address Line | 6264 S TWILIGHT CT
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City | GILBERT
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State | AZ
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Zip | 85298-8845
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Country | US
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Telephone | 801-854-8244
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Fax | 480-604-2634
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Authorized Official
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Title or Position | OWNER, FNP
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Name | DR. CAMELLE JONES
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Credential | PHD, MSN, FNP-BC
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Telephone | 480-955-9636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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