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General NPI Number Information
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NPI Number | 1558181503
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Entity Type | Organization
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Legal Business Name | STYLES BY RMARIE
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 5592 ROSEBANK RD
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City | WADMALAW ISLAND
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State | SC
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Zip | 29487-7011
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Country | US
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Telephone | 843-729-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 5592 ROSEBANK RD
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City | WADMALAW ISLAND
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State | SC
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Zip | 29487-7011
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Country | US
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Telephone | 843-729-8540
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROSTHESIS
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Name | RASHEEDA CLARK
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Credential |
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Telephone | 843-729-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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