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General NPI Number Information
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NPI Number | 1891511986
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Entity Type | Organization
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Legal Business Name | IRMA S BAR OF BEAUTY LLC
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Dates
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Enumeration Date | 11/23/2024
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 17418 CHATSWORTH ST STE 201-C
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7629
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Country | US
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Telephone | 808-276-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 17418 CHATSWORTH ST STE 201-C
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7629
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Country | US
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Telephone | 808-276-0720
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Fax |
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Authorized Official
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Title or Position | LEAD MASSAGE THERAPIST
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Name | IRMA FLORES
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Credential |
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Telephone | 808-276-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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