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General NPI Number Information
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NPI Number | 1659081867
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Entity Type | Organization
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Legal Business Name | SASSY'S STYLING SALON LLC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 292 MEYER FARM RD
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City | WINTERVILLE
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State | GA
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Zip | 30683-3822
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Country | US
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Telephone | 706-742-0869
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Fax | 706-395-6077
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Provider Business Mailing Address
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Address Line | 292 MEYER FARM RD
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City | WINTERVILLE
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State | GA
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Zip | 30683-3822
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Country | US
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Telephone | 706-742-0869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA LYNNE HILL
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Credential |
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Telephone | 706-742-0869
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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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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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