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General NPI Number Information
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NPI Number | 1710498696
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Entity Type | Organization
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Legal Business Name | TRIEXPERTS
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 220 SAINT PAUL ST
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City | PEARL
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State | MS
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Zip | 39208-5134
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Country | US
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Telephone | 601-910-8325
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Fax | 601-806-3060
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Provider Business Mailing Address
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Address Line | 606 MCDONALD DR APT E4
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City | CLINTON
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State | MS
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Zip | 39056-5303
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Country | US
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Telephone | 601-278-9175
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | DALLASCIET HARPER OWENS
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Credential | HAIR LOSS SPECIALIST
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Telephone | 601-910-8325
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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 | MS
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