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General NPI Number Information
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NPI Number | 1396603593
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Entity Type | Organization
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Legal Business Name | PLAYHOUSE HAIR LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 3831 ARBOR DR
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City | TALLAHASSEE
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State | FL
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Zip | 32303-7065
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Country | US
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Telephone | 229-309-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 2241 N MONROE ST # 1328
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4731
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Country | US
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Telephone | 229-309-4010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESTINI BEARD
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Credential |
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Telephone | 229-309-4010
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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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