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General NPI Number Information
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NPI Number | 1386307742
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Entity Type | Organization
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Legal Business Name | BRAIDS AND MORE BY E
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 3356 WESTERN BRANCH BLVD STE G
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5138
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Country | US
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Telephone | 757-748-3527
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Fax | 757-956-5885
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Provider Business Mailing Address
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Address Line | 4240 PORTSMOUTH BLVD UNIT 613
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2129
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Country | US
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Telephone | 757-748-3527
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Fax | 757-956-5885
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Authorized Official
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Title or Position | LICENSED COSMETOLOGIST/INSTRUCTOR
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Name | ERICA CHRISTINE MIKELL
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Credential |
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Telephone | 757-748-3527
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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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