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General NPI Number Information
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NPI Number | 1053099986
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Entity Type | Organization
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Legal Business Name | EPIC LOOKS HAIR AND WIGS COLLECTION LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 7837 W SAMPLE RD STE 127
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4751
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Country | US
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Telephone | 954-951-4310
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Fax | 954-951-4310
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Provider Business Mailing Address
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Address Line | 7837 W SAMPLE RD STE 127
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4751
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Country | US
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Telephone | 954-951-4310
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Fax | 954-951-4310
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Authorized Official
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Title or Position | CRANIAL PROTHESIS
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Name | KAYON SHEPHERD
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Credential |
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Telephone | 954-951-4310
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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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