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General NPI Number Information
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NPI Number | 1245735562
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Entity Type | Organization
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Legal Business Name | HAIR RESTORATION CENTRE AND MEDI SPA
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP S STE 110
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City | BELLAIRE
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State | TX
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Zip | 77401-2420
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Country | US
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Telephone | 832-581-2484
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Fax | 888-352-2932
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Provider Business Mailing Address
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Address Line | 5959 WEST LOOP S STE 110
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City | BELLAIRE
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State | TX
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Zip | 77401-2420
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Country | US
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Telephone | 832-581-2484
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Fax | 888-352-2932
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Authorized Official
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Title or Position | OWNER
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Name | ROSALIND ROSHELLE MCGAHA
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Credential |
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Telephone | 832-292-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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