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General NPI Number Information
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NPI Number | 1114442993
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL HAIR SOLUTIONS LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 3701 TAYLORSVILLE RD STE 4
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City | LOUISVILLE
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State | KY
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Zip | 40220-1351
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Country | US
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Telephone | 502-718-9693
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Fax |
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Provider Business Mailing Address
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Address Line | 3155 TALISMAN RD
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City | LOUISVILLE
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State | KY
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Zip | 40220-1815
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Country | US
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Telephone | 502-451-6061
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Fax |
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Authorized Official
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Title or Position | HAIR LOSS SPECIALIST
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Name | TIFFINY SMITH
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Credential |
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Telephone | 502-718-9693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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