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General NPI Number Information
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NPI Number | 1760250930
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Entity Type | Organization
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Legal Business Name | JAYLEE'S BEAUTY LOUNGE LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 55 COLE ST STE 101
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City | YONKERS
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State | NY
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Zip | 10710-7502
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Country | US
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Telephone | 914-714-1908
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Fax |
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Provider Business Mailing Address
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Address Line | 541 BRONX RIVER RD APT 3E
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City | YONKERS
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State | NY
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Zip | 10704-2526
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Country | US
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Telephone | 347-602-1362
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE LEE ZENO
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Credential |
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Telephone | 347-602-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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