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General NPI Number Information
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NPI Number | 1043192552
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Entity Type | Organization
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Legal Business Name | HAIR BY DR MUNI LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1419 49TH ST S
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City | GULFPORT
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State | FL
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Zip | 33707-4301
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Country | US
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Telephone | 727-346-8417
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 49TH ST S
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City | GULFPORT
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State | FL
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Zip | 33707-4301
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Country | US
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Telephone | 727-346-8417
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANDA MUNI-MORGAN
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Credential | PH.D.
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Telephone | 727-346-8417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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