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General NPI Number Information
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NPI Number | 1306635875
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Entity Type | Organization
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Legal Business Name | SYLK OVA HAIR CO
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 833-795-5682
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Fax | 833-974-2735
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Provider Business Mailing Address
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Address Line | 9115 FM 723 RD STE 550
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City | RICHMOND
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State | TX
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Zip | 77406-9238
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Country | US
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Telephone | 833-795-5682
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Fax | 833-974-2735
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | SYLVIA J CHESTNUT
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Credential |
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Telephone | 833-795-5682
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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 | 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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