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General NPI Number Information
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NPI Number | 1346643707
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Entity Type | Organization
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Legal Business Name | UNIQUE FOR YOU
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 21826 GROVEPARK DR
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City | SAUGUS
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State | CA
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Zip | 91350-1616
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Country | US
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Telephone | 818-268-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 21826 GROVEPARK DR
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City | SAUGUS
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State | CA
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Zip | 91350-1616
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Country | US
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Telephone | 818-268-6343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HOLLY FENEHT
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Credential |
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Telephone | 818-268-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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