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General NPI Number Information
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NPI Number | 1467305920
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Entity Type | Organization
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Legal Business Name | RESTORATION WIG COMPANY
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 585 MAIN ST STE 243
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City | LAUREL
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State | MD
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Zip | 20707-4354
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Country | US
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Telephone | 202-725-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 12TH ST NW APT 241
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City | WASHINGTON
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State | DC
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Zip | 20012-1785
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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 | MANAGING MEMBER
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Name | CHINAZOR A ANASOH
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Credential | NONE
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Telephone | 202-725-9779
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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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