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General NPI Number Information
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NPI Number | 1699555110
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Entity Type | Organization
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Legal Business Name | HAIR & NOW ELECTROLYSIS, LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 3317 MCKINNEY AVE STE 208
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City | DALLAS
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State | TX
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Zip | 75204-0325
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Country | US
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Telephone | 214-865-8345
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST STE 7486
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 214-865-8345
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VALERIE JACKSON
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Credential |
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Telephone | 214-865-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 305S00000X
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Taxonomy Name | Point of Service
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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