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General NPI Number Information
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NPI Number | 1023419223
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Entity Type | Organization
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Legal Business Name | PERMANENT COSMETICS BY CHER
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 1265 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3221
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Country | US
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Telephone | 401-225-9061
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Fax |
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Provider Business Mailing Address
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Address Line | 241 HARRINGTON AVE
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City | WARWICK
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State | RI
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Zip | 02888-2400
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Country | US
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Telephone | 401-225-9061
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Fax |
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Authorized Official
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Title or Position | ARTIST/OWNER
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Name | CHER ANN PIERCE-EBERT
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Credential |
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Telephone | 401-225-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | TA00235
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License Number State | RI
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