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General NPI Number Information
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NPI Number | 1609565068
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Entity Type | Organization
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Legal Business Name | HIEN ATKINS BEAUTY LOUNGE AND SPA
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2605 11TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2803
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Country | US
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Telephone | 205-248-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 VETERANS MEMORIAL PKWY STE A
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4792
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Country | US
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Telephone | 205-523-7483
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RAMESH PERAMSETTY
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Credential | MD
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Telephone | 205-523-7483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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