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General NPI Number Information
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NPI Number | 1093608093
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Entity Type | Organization
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Legal Business Name | LAYIN' STYLE REMODELING LLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 625 COW ALLEY
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City | WAXAHACHIE
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State | TX
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Zip | 75152
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Country | US
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Telephone | 903-851-2243
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2577
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City | RED OAK
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State | TX
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Zip | 75154-1579
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Country | US
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Telephone | 903-851-2243
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SHAWN KANNEGIETER
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Credential |
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Telephone | 903-851-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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