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General NPI Number Information
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NPI Number | 1740994623
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Entity Type | Organization
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Legal Business Name | THE ESSENCE OF HAIR
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 9912 HOSIER ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-4221
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Country | US
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Telephone | 855-355-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 9912 HOSIER ST
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-4221
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Country | US
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Telephone | 855-355-4247
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | AMBER JONES
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Credential |
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Telephone | 855-355-4247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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