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General NPI Number Information
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NPI Number | 1508786047
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Entity Type | Organization
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Legal Business Name | GENESIS HAIR SOLUTIONS
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 2056 TWEED DR
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City | ACWORTH
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State | GA
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Zip | 30101-3632
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Country | US
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Telephone | 678-468-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 3344 COBB PKWY NW STE 200
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City | ACWORTH
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State | GA
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Zip | 30101-8345
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Country | US
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Telephone | 678-468-1739
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HALIMA YAMAH
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Credential |
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Telephone | 678-468-1739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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