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General NPI Number Information
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NPI Number | 1326976960
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Entity Type | Organization
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Legal Business Name | LARUE'S HAIR STUDIO INC.
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1092 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5012
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Country | US
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Telephone | 404-934-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 950 EAGLES LANDING PKWY STE 970
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 404-934-0395
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | TINA KENDALL
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Credential |
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Telephone | 404-934-0395
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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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