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General NPI Number Information
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NPI Number | 1649524125
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Entity Type | Organization
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Legal Business Name | En'Style Virgin Hair Company
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line |
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City |
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State |
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Zip |
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 8364 Meadow Sweet Lane
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City | Fort Worth
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State | TX
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Zip | 76123-5038
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Country | US
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Telephone | 6825973222
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Fax | 8179772976
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Authorized Official
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Title or Position | OWNER/HAIR EXTENSION/WIG SPECIALIST
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Name | MRS. ALICIA L HOLMES
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Credential |
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Telephone | 877-415-4578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | 1
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License Number | 643604
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License Number State | TX
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