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General NPI Number Information
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NPI Number | 1144189697
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Entity Type | Organization
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Legal Business Name | CHIC SASSY S HAIR LOFT
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1205 N 18TH ST STE 112
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City | MONROE
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State | LA
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Zip | 71201-5400
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Country | US
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Telephone | 318-245-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 N 18TH ST STE 112
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City | MONROE
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State | LA
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Zip | 71201-5400
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Country | US
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Telephone | 318-245-4252
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Fax |
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Authorized Official
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Title or Position | LICENSED COSMETOLOGIST
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Name | MS. DESHANDLYN CHAMBERS
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Credential | CERTIFIED HAIR LOSS
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Telephone | 318-245-4252
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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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