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General NPI Number Information
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NPI Number | 1326612706
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Entity Type | Organization
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Legal Business Name | TRI-INDULGENCE BEAUTY
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/31/2021
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Provider Practice Location Address
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Address Line | 5160 EAST MAIN ST LOFT 26
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City | WHITEHALL
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-636-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 6321 JAMES ROUSE BLVD
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-9676
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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 | HAIR PRACTITIONER
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Name | VANIETY CHERELLE REID
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Credential |
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Telephone | 614-636-0067
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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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