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General NPI Number Information
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NPI Number | 1861347114
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Entity Type | Organization
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Legal Business Name | ALESHA'S BEAUTIFUL CREATION LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 789 EDENBROOK DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-7101
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Country | US
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Telephone | 252-258-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 3328 ELLSWORTH DR APT B
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City | GREENVILLE
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State | NC
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Zip | 27834-4944
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Country | US
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Telephone | 252-258-4563
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS JALESHA DANIELE SAULS
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Credential |
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Telephone | 252-258-4563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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