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General NPI Number Information
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NPI Number | 1710750146
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Entity Type | Organization
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Legal Business Name | NEUBIANS QUEEN HAIR IMPORTER
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 5550 PAINTED MIRAGE RD STE 320
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City | LAS VEGAS
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State | NV
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Zip | 89149-4584
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Country | US
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Telephone | 702-670-8984
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Fax | 702-476-9559
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Provider Business Mailing Address
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Address Line | PO BOX 335724
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89033-5724
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Country | US
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Telephone | 702-202-5857
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ONESIA ANN HARDING
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Credential |
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Telephone | 702-202-5857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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