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General NPI Number Information
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NPI Number | 1487687083
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Entity Type | Organization
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Legal Business Name | STRUT HAIR SOLUTIONS INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 202 LOMAS SANTA FE DR
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1224
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Country | US
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Telephone | 858-755-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 202 LOMAS SANTA FE DR
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1224
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Country | US
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Telephone | 858-755-9447
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HELENA GIBSON
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Credential |
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Telephone | 559-225-5691
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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 | 100-189479
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License Number State | CA
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