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General NPI Number Information
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NPI Number | 1558275362
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Entity Type | Organization
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Legal Business Name | RESTORED CRANIAL CARE LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 843-414-9661
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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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 | CRANIAL PROTHESES
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Name | APRIL WRIGHT
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Credential |
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Telephone | 843-584-1532
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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 | NULL
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