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General NPI Number Information
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NPI Number | 1316808868
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Entity Type | Organization
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Legal Business Name | HALO VIRGIN HAIR EXTENSIONS LLC
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Dates
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Enumeration Date | 11/22/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 3000 W MASTER ST. UNIT 604
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City | PHILADELPHIA
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State | PA
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Zip | 19121
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Country | US
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Telephone | 215-796-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 W MASTER ST APT 604
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City | PHILADELPHIA
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State | PA
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Zip | 19121-4426
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. BASHIRAH BILAL
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Credential |
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Telephone | 267-973-6678
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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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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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