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General NPI Number Information
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NPI Number | 1598611642
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Entity Type | Organization
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Legal Business Name | EXTELLE HAIR STUDIO
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1916 SKIBO RD STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1526
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Country | US
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Telephone | 571-344-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 SKIBO RD STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1526
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Country | US
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Telephone | 571-344-2177
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Fax |
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Authorized Official
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Title or Position | OWNER / TRICOLOGIST
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Name | ESTELLE A WALKER
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Credential |
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Telephone | 571-344-2177
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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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