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General NPI Number Information
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NPI Number | 1144196981
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Entity Type | Organization
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Legal Business Name | BEAUTE WITHIN MEDICAL WIG COMPANY
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 6000 A ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2005
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Country | US
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Telephone | 215-834-0140
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Fax |
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Provider Business Mailing Address
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Address Line | 6704 CORNELIUS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE GRAHAM
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Credential |
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Telephone | 215-834-0140
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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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