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General NPI Number Information
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NPI Number | 1053549402
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Entity Type | Organization
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Legal Business Name | CROWNING GLORY LACE WIGS
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 8100 S STONY ISLAND AVE UNIT F
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City | CHICAGO
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State | IL
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Zip | 60617-1734
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Country | US
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Telephone | 773-356-9447
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Fax | 773-356-9447
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Provider Business Mailing Address
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Address Line | 8100 S STONY ISLAND AVE UNIT F
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City | CHICAGO
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State | IL
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Zip | 60617-1734
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Country | US
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Telephone | 773-356-9447
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Fax | 773-356-9447
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIM L ARNOLD
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Credential |
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Telephone | 312-671-0516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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