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General NPI Number Information
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NPI Number | 1114890100
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Entity Type | Organization
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Legal Business Name | MEDTRANSPO LLC DBA VIRGIN HAIR BAR
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3509 DULUTH HIGHWAY 120
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City | DULUTH
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State | GA
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Zip | 30096-6703
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Country | US
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Telephone | 678-803-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 3509 DULUTH HIGHWAY 120
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City | DULUTH
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State | GA
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Zip | 30096-6703
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Country | US
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Telephone | 678-803-8111
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Fax | 678-803-8127
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Authorized Official
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Title or Position | OWNER/CRANIAL PROSTHESES SPECIALIST
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Name | MS. AKILAH H LOWERY
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Credential |
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Telephone | 678-803-8111
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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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Taxonomy #2
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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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