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General NPI Number Information
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NPI Number | 1720906712
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Entity Type | Organization
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Legal Business Name | BEAUTY BAR BY TERRI
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 5301 ALPHA RD
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City | DALLAS
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State | TX
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Zip | 75240-4355
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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Provider Business Mailing Address
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Address Line | 7575 DR PHILLIPS BLVD STE 155
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City | ORLANDO
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State | FL
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Zip | 32819-7220
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Country | US
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Telephone | 407-982-4876
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Fax | 407-650-2754
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Authorized Official
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Title or Position | MEDICAL TATTOO ARTIST
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Name | TERRI YINGLING
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Credential |
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Telephone | 407-982-4876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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