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General NPI Number Information
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NPI Number | 1508400672
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Entity Type | Organization
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Legal Business Name | HAIR TODAY GONE TOMORROW ELECTROLYSIS, LLC
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 4245 N CENTRAL EXPY STE 450
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City | DALLAS
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State | TX
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Zip | 75205-4530
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Country | US
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Telephone | 682-593-1442
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Fax |
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Provider Business Mailing Address
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Address Line | 4245 N CENTRAL EXPY STE 450
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City | DALLAS
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State | TX
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Zip | 75205-4530
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Country | US
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Telephone | 682-593-1442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA WOLFE
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Credential |
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Telephone | 682-593-1442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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