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General NPI Number Information
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NPI Number | 1790620342
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Entity Type | Organization
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Legal Business Name | MAGNIFY BEAUTY LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 230 SW BROAD ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5406
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Country | US
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Telephone | 910-638-5169
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Fax |
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Provider Business Mailing Address
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Address Line | 230 SW BROAD ST STE A
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5406
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Country | US
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Telephone | 910-638-3302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID MALLY
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Credential |
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Telephone | 910-638-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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