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General NPI Number Information
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NPI Number | 1669985727
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Entity Type | Organization
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Legal Business Name | SAVVY BARBERS CENTER
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 754 FESTIVAL AVE S
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-0736
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Country | US
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Telephone | 470-775-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 754 FESTIVAL AVE S
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-0736
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Country | US
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Telephone | 470-775-1676
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Fax |
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Authorized Official
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Title or Position | HAIR LOSS SPECIALIST
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Name | TANYA WEBB
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Credential |
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Telephone | 470-775-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 164836
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License Number State | OK
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