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NPI 1841104015

NPI 1841104015 : G&J WIGS CO.INC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1841104015
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    Entity Type          |    Organization 
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    Legal Business Name  |    G&J WIGS CO.INC 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    239 E 59TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1403
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    Country              |    US
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    Telephone            |    917-733-2494
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    239 E 59TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1403
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    Country              |    US
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    Telephone            |    917-733-2494
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER917
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    Name                 |     GINA  KWON 
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    Credential           |    PROVIDER
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    Telephone            |    917-733-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    305R00000X
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    Taxonomy Name        |    Preferred Provider Organization
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    License Number       |    
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    License Number State |    NULL
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