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A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI # | 1285414888 |
| LBN Legal business name | AB BOUTIQUE MEDICINE LLC |
| Authorized official | CHAD BENNINGHOFF - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/02/2023 |
| Last updated | 10/02/2023 - About 3 years ago |
| Identifiers | n/a |
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AB BOUTIQUE MEDICINE LLC
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AB BOUTIQUE MEDICINE LLC