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General NPI Number Information
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NPI Number | 1568113777
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Entity Type | Organization
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Legal Business Name | PRETTY YUMMI STYLES LLC
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 321 PEARLWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32811-1645
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Country | US
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Telephone | 407-773-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 321 PEARLWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32811-1645
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Country | US
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Telephone | 407-773-6551
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA JANEY PERRY
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Credential |
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Telephone | 407-773-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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