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General NPI Number Information
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NPI Number | 1720696479
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Entity Type | Organization
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Legal Business Name | YOUNITS CUSTOM WIGS LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 4909 W PARK BLVD STE 157
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City | PLANO
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State | TX
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Zip | 75093-2399
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Country | US
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Telephone | 469-970-2758
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Fax |
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Provider Business Mailing Address
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Address Line | 4909 W PARK BLVD STE 157
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City | PLANO
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State | TX
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Zip | 75093-2399
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Country | US
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Telephone | 469-970-2758
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Fax |
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Authorized Official
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Title or Position | HAIR LOSS SPECIALIST
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Name | ASHLEY FERGUSON
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Credential | HAIR LOSS CERT
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Telephone | 469-970-2758
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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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