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General NPI Number Information
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NPI Number | 1598603607
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Entity Type | Organization
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Legal Business Name | NEW ERA BARBERSHOP AND NONSURGICAL HAIR REPLACEMENT CENTER
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 2100 PHILLIPS AVE. SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-285-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 PHILLIPS AVE. SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-285-8937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | G. ANTOINE GRAY
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Credential |
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Telephone | 336-285-8937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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