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General NPI Number Information
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NPI Number | 1710490172
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Entity Type | Organization
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Legal Business Name | AC STYLES LLC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 4281 MORSE RD
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City | GAHANNA
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State | OH
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Zip | 43230-1522
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Country | US
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Telephone | 216-372-7699
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201142
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City | SHAKER HTS
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State | OH
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Zip | 44120-8102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/HAIR LOSS SPECIALIST
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Name | ALAINA CARR
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Credential |
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Telephone | 216-372-7699
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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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