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General NPI Number Information
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NPI Number | 1750153995
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Entity Type | Organization
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Legal Business Name | TRESS CONNOISSEURS HAIR EXTENSION COMPANY, L.L.C
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 846 ELM ST STE E
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4167
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Country | US
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Telephone | 720-608-3880
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Fax | 910-500-5183
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Provider Business Mailing Address
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Address Line | 16881 BIRDIE CT
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City | WAGRAM
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State | NC
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Zip | 28396-8003
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Country | US
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Telephone | 910-587-5088
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GYSANDA MARZELLA PARKER-BYRD
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Credential |
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Telephone | 720-608-3880
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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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Taxonomy #2
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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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Taxonomy #3
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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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