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General NPI Number Information
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NPI Number | 1386938504
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Entity Type | Organization
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Legal Business Name | HAIR BUTTERFLIES INC.
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 425 N MARION ST
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City | OAK PARK
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State | IL
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Zip | 60302-1813
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Country | US
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Telephone | 708-524-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 425 N MARION ST
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City | OAK PARK
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State | IL
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Zip | 60302-1813
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Country | US
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Telephone | 708-524-5423
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. EDUART TARE
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Credential |
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Telephone | 708-524-5423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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