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General NPI Number Information
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NPI Number | 1275321788
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Entity Type | Organization
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Legal Business Name | LA HAIR CANDY LLC
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 6088 ATLANTIC AVE STE B
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City | LONG BEACH
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State | CA
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Zip | 90805-3000
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Country | US
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Telephone | 562-283-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 6656 SPRINGVALE CT
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City | EASTVALE
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State | CA
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Zip | 92880-3800
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Country | US
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Telephone | 562-233-7341
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TINA OBAID
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Credential |
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Telephone | 562-233-7341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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