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General NPI Number Information
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NPI Number | 1790307767
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Entity Type | Organization
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Legal Business Name | JYMESHA YAPELLE BEAUTY, LLC
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 111 BAPTIST ST STE 109
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City | SALISBURY
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State | MD
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Zip | 21801-4932
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Country | US
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Telephone | 443-978-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 2636 N SALISBURY BLVD # 1032
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City | SALISBURY
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State | MD
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Zip | 21801-2141
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Country | US
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Telephone | 443-978-2728
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Fax |
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Authorized Official
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Title or Position | COORDINATOR
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Name | MS. JYMESHA TRUITT
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Credential |
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Telephone | 443-978-2728
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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 |
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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