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General NPI Number Information
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NPI Number | 1134087828
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Entity Type | Organization
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Legal Business Name | MANE HAVEN HAIR REJUVENATION
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 106 S BROWN RD
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City | BEULAVILLE
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State | NC
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Zip | 28518-8845
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Country | US
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Telephone | 910-385-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S BROWN RD
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City | BEULAVILLE
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State | NC
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Zip | 28518-8845
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Country | US
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Telephone | 910-385-5559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOY SERENA KENNEDY
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Credential | TRICHOLOGIST
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Telephone | 910-385-5596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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