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General NPI Number Information
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NPI Number | 1396337788
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Entity Type | Organization
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Legal Business Name | LOTTS OF STYLES MANE SOLUTION SALON LLC
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Dates
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Enumeration Date | 02/07/2021
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 54 CHERRY ST
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City | GRENADA
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State | MS
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Zip | 38901-2502
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Country | US
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Telephone | 662-699-0256
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BOUNDS DR
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City | GRENADA
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State | MS
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Zip | 38901-2705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YVONIA LOTT
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Credential |
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Telephone | 662-699-0256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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