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General NPI Number Information
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NPI Number | 1598394926
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Entity Type | Organization
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Legal Business Name | HAIR REPLACEMENT SYSTEMS AND HAIRSTYLES USA INC.
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 105 E BUTLER RD STE C
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City | MAULDIN
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State | SC
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Zip | 29662-2100
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Country | US
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Telephone | 864-288-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E BUTLER RD STE C
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City | MAULDIN
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State | SC
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Zip | 29662-2100
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Country | US
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Telephone | 864-288-4222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBRA JEAN HILKERT
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Credential | HAIR REPLACEMENT SPE
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Telephone | 864-456-7588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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