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General NPI Number Information
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NPI Number | 1881557338
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Entity Type | Organization
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Legal Business Name | RESTORE HAIR LOSS SALON
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 12330 WAYZATA BLVD STE 19
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City | MINNETONKA
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State | MN
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Zip | 55305-1919
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Country | US
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Telephone | 763-286-3028
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Fax |
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Provider Business Mailing Address
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Address Line | 4369 MAZULA CT NE
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City | SAINT MICHAEL
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State | MN
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Zip | 55376-2413
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Country | US
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Telephone | 763-286-3028
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Fax |
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Authorized Official
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Title or Position | OWNER/HAIR LOSS SPECIALIST
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Name | MICHELLE SCHUMM
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Credential | HAIR LOSS SPECIALIST
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Telephone | 763-286-3028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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