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General NPI Number Information
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NPI Number | 1184495855
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Entity Type | Organization
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Legal Business Name | PRETTY HAIR SOLUTIONS
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 14508 LINCOLN BLVD STE 115
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City | MIAMI
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State | FL
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Zip | 33176-7461
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Country | US
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Telephone | 786-391-9391
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Fax |
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Provider Business Mailing Address
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Address Line | 13727 SW 152ND ST # 765
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City | MIAMI
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State | FL
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Zip | 33177-1106
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Country | US
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Telephone | 786-391-9391
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GANERRA BESS
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Credential |
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Telephone | 786-391-9391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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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