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General NPI Number Information
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NPI Number | 1285599209
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Entity Type | Organization
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Legal Business Name | ABSTRACT NATURAL HAIRCARE LLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 7078 MECHANICSVILLE TPKE
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3629
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Country | US
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Telephone | 804-803-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 7078 MECHANICSVILLE TPKE
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3629
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Country | US
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Telephone | 804-803-2249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYDREYANNA NICOLE JACKSON
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Credential |
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Telephone | 504-401-9955
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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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