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General NPI Number Information
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NPI Number | 1235091620
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Entity Type | Organization
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Legal Business Name | COLOUR CRAZE COSMETICS, LLC. / DBA CROWN AND COMFORT CRANIAL SOLUTIONS
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5450 PEACHTREE PKWY
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City | NORCROSS
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State | GA
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Zip | 30092-2557
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Country | US
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Telephone | 770-902-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 4485 FULTON INDUSTRIAL BLVD SW STE A11109
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City | ATLANTA
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State | GA
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Zip | 30336-1761
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Country | US
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Telephone | 770-902-5402
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TATIANA WATSON
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Credential |
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Telephone | 770-902-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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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 | 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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