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General NPI Number Information
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NPI Number | 1093227860
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Entity Type | Organization
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Legal Business Name | TANGIBLE BEAUTY ENTERPRISES LLC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 200 HADDONFIELD BERLIN RD STE 3
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City | VOORHEES
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State | NJ
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Zip | 08043-1400
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Country | US
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Telephone | 856-354-8000
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Fax | 856-354-8001
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Provider Business Mailing Address
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Address Line | 200 HADDONFIELD BERLIN RD STE 3
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City | VOORHEES
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State | NJ
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Zip | 08043-1400
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Country | US
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Telephone | 856-354-8000
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Fax | 856-354-8001
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELISSA JOYNER
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Credential | MBA
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Telephone | 856-354-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 32WG04984300
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License Number State | NJ
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