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NPI 1598461147

NPI 1598461147 : HAIR AND SKIN SCIENCE CENTER PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1598461147
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAIR AND SKIN SCIENCE CENTER PLLC 
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Dates
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    Enumeration Date     |    02/06/2023
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    5373 W ALABAMA ST STE 204 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-5923
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    Country              |    US
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    Telephone            |    281-607-7739
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    Fax                  |    281-299-0091
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Provider Business Mailing Address
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    Address Line         |    1127 ELDRIDGE PKWY STE 300-110 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-1771
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    Country              |    US
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    Telephone            |    281-607-7739
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KUDAKWASHE  MALONEY 
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    Credential           |    
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    Telephone            |    281-607-7739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ND0900X
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    Taxonomy Name        |    Dermatopathology Physician
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    License Number       |    
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    License Number State |    
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