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General NPI Number Information
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NPI Number | 1598685497
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Entity Type | Organization
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Legal Business Name | ADORE MEDICAL WIG BOUTIQUE LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 112 W PIPELINE RD STE 1920
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City | HURST
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State | TX
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Zip | 76053-5743
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Country | US
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Telephone | 682-365-4367
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Fax |
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Provider Business Mailing Address
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Address Line | 112 W PIPELINE RD STE 1920
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City | HURST
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State | TX
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Zip | 76053-5743
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Country | US
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Telephone | 682-365-4367
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROSTHESIS SPECIALIST
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Name | JANET SCOTT
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Credential |
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Telephone | 682-365-4367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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