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General NPI Number Information
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NPI Number | 1740509447
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Entity Type | Organization
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Legal Business Name | GIA HAIR SYSTEMS LLC
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 742 N LEE RD
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City | COVINGTON
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State | LA
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Zip | 70433-2747
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Country | US
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Telephone | 985-635-7964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 614
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City | COVINGTON
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State | LA
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Zip | 70434-0614
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Country | US
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Telephone | 985-635-7964
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS IOANA DENISE GARRETT
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Credential |
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Telephone | 985-635-7964
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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 | L359521123
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | L359521123
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License Number State | LA
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