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General NPI Number Information
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NPI Number | 1457161036
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Entity Type | Organization
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Legal Business Name | SALON SC L.L.C
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 704 BRADDOCK AVE
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City | BRADDOCK
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State | PA
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Zip | 15104
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Country | US
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Telephone | 412-727-7689
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Fax | 412-727-7852
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Provider Business Mailing Address
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Address Line | 124 LANFORD DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-1856
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Country | US
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Telephone | 412-727-7689
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Fax | 412-727-7852
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANNA COCHRAN
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Credential |
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Telephone | 412-727-7689
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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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Taxonomy #2
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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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