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General NPI Number Information
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NPI Number | 1346003886
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Entity Type | Organization
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Legal Business Name | ALL INCLUSIVE CROWND BEAUTY
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 10980 BULLOCH DR # 12
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City | MANASSAS
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State | VA
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Zip | 20109-2226
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Country | US
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Telephone | 202-870-0302
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Fax | 703-977-9415
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Provider Business Mailing Address
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Address Line | 14321 CLIMBING ROSE WAY APT 201
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City | CENTREVILLE
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State | VA
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Zip | 20121-5189
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Country | US
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Telephone | 571-359-0178
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Fax | 703-977-9415
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Authorized Official
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Title or Position | OWNER
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Name | RITA JEAN BRIGGS
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Credential |
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Telephone | 202-870-0302
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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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