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General NPI Number Information
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NPI Number | 1225627425
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Entity Type | Organization
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Legal Business Name | NATALIES HAIR SANCTUARY
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 1203 W SAINT GEORGES AVE STE 101
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City | LINDEN
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State | NJ
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Zip | 07036-6167
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Country | US
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Telephone | 908-525-3217
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 W SAINT GEORGES AVE STE 101
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City | LINDEN
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State | NJ
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Zip | 07036-6167
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Country | US
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Telephone | 908-525-3217
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE ADESANYA
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Credential | CERTIFIED LIFE COACH
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Telephone | 908-446-9208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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