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General NPI Number Information
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NPI Number | 1093467045
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Entity Type | Organization
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Legal Business Name | PURSUE 2 BEAUTY LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 2122 SUNNYTHORN RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-4923
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Country | US
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Telephone | 410-936-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 7929 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-2141
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Country | US
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Telephone | 410-936-4699
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Fax | 443-420-9170
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Authorized Official
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Title or Position | PROSTHETIC / ORTHOTIC SUPPLIER
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Name | TRACY N HALL
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Credential |
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Telephone | 410-936-4699
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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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