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General NPI Number Information
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NPI Number | 1588257562
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Entity Type | Organization
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Legal Business Name | THE HOUSE OF JUELZ HAIR STUDIO
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 101 S YEARLING RD
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City | WHITEHALL
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State | OH
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Zip | 43213-1827
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Country | US
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Telephone | 614-804-8462
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 CENTENNIAL DR
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-3963
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Country | US
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Telephone | 614-804-8462
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIA MAURIE FORD
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Credential |
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Telephone | 614-804-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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