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General NPI Number Information
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NPI Number | 1194340554
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Entity Type | Organization
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Legal Business Name | COMPLETE BEAUTY SERVICES, LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 6137 CRAWFORDSVILLE RD STE 143
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-3731
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Country | US
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Telephone | 317-507-8757
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Fax |
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Provider Business Mailing Address
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Address Line | 6137 CRAWFORDSVILLE RD STE 143
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-3731
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Country | US
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Telephone | 317-507-8757
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS LESLIE BOYD
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Credential | CERTIFIED HAIR LOSS
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Telephone | 317-507-8757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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