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General NPI Number Information
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NPI Number | 1487221347
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Entity Type | Organization
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Legal Business Name | TRESSES BY DREAM LESS. LLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 1471 FITZGERALD DR STE 103
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City | PINOLE
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State | CA
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Zip | 94564-2228
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Country | US
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Telephone | 510-224-5496
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Fax | 866-275-2819
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Provider Business Mailing Address
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Address Line | 2174 MORROW ST
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City | HAYWARD
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State | CA
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Zip | 94541-6289
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Country | US
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Telephone | 510-731-9401
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAISHAH TURNER
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Credential |
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Telephone | 510-731-9401
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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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