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General NPI Number Information
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NPI Number | 1255083820
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Entity Type | Organization
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Legal Business Name | MONIKA J SALON LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 2015 MIDWAY RD STE 7
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City | CARROLLTON
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State | TX
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Zip | 75006-4953
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Country | US
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Telephone | 833-666-4525
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Fax | 469-310-8992
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Provider Business Mailing Address
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Address Line | 1100 MEREDITH LN APT 1123
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City | PLANO
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State | TX
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Zip | 75093-4672
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Country | US
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Telephone | 773-331-5575
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Fax | 469-310-8992
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Authorized Official
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Title or Position | HAIR LOSS PRACTIONER
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Name | MONIKA PARHAM
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Credential |
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Telephone | 833-666-4525
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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