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General NPI Number Information
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NPI Number | 1508711094
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Entity Type | Organization
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Legal Business Name | NOBLE ROOTS HAIR SPA
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1920 VALLEYDALE RD STE 240
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City | BIRMINGHAM
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State | AL
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Zip | 35244-1713
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Country | US
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Telephone | 205-588-0383
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 VALLEYDALE RD STE 240
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City | BIRMINGHAM
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State | AL
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Zip | 35244-1713
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Country | US
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Telephone | 205-588-0383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELICA COX
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Credential |
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Telephone | 205-761-2036
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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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