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General NPI Number Information
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NPI Number | 1356256937
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Entity Type | Organization
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Legal Business Name | L.A. HAIR BOUTIQUE
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2740 S HIGHWAY 14 UNIT N
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City | GREER
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State | SC
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Zip | 29650-4943
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Country | US
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Telephone | 864-641-0751
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 S HIGHWAY 14 UNIT N
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City | GREER
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State | SC
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Zip | 29650-4943
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Country | US
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Telephone | 864-641-0751
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER DOUGLAS GUEST
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Credential |
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Telephone | 864-415-5727
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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 | 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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