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General NPI Number Information
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NPI Number | 1215169016
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Entity Type | Organization
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Legal Business Name | HAIR TO STAY LLC.
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 100 ASHLAND PARK LN.
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City | COLUMBIA
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State | SC
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Zip | 29210
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Country | US
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Telephone | 803-731-5320
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Fax | 803-731-5365
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Provider Business Mailing Address
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Address Line | 100 ASHLAND PARK LN. SUITE D
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City | COLUMBIA
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State | SC
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Zip | 29210
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Country | US
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Telephone | 803-731-5370
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Fax | 803-231-5365
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Authorized Official
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Title or Position | OWNER/MASTER HAIR CARE SPECIALIST
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Name | MRS. JOAN ROBINSON
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Credential |
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Telephone | 803-731-5370
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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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