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General NPI Number Information
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NPI Number | 1497564017
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Entity Type | Organization
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Legal Business Name | TRINA'S HAIRTIQUE LLC
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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 | 1822 N FAYETTEVILLE ST STE 102
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City | ASHEBORO
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State | NC
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Zip | 27203-3381
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Country | US
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Telephone | 336-455-5419
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2308
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City | ASHEBORO
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State | NC
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Zip | 27204-2308
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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 | OWNER
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Name | KATRINA TURNAGE
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Credential |
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Telephone | 336-455-5419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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