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General NPI Number Information
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NPI Number | 1851957872
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Entity Type | Organization
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Legal Business Name | MANE MEDIC HAIR REJUVENATION LLC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 2120 N REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43615-3514
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Country | US
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Telephone | 419-407-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 N REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43615-3514
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Country | US
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Telephone | 419-407-5595
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Fax |
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Authorized Official
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Title or Position | PROSTHETIC ORTHOTIC SUPPLIER
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Name | TIMIKO KINER
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Credential |
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Telephone | 419-690-5617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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