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General NPI Number Information
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NPI Number | 1699137224
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Entity Type | Organization
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Legal Business Name | TRULY BEAUTIFUL
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 1609 1ST ST NE
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City | CENTER POINT
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State | AL
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Zip | 35215-5603
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Country | US
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Telephone | 205-401-7312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9715
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City | BIRMINGHAM
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State | AL
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Zip | 35220-0715
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Country | US
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Telephone | 205-401-7312
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Fax |
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Authorized Official
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Title or Position | CERTIFIED HAIR LOSS SPECIALIST
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Name | MS. ANGELA DENISE STURDIVANT
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Credential |
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Telephone | 205-401-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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