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General NPI Number Information
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NPI Number | 1912727652
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Entity Type | Organization
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Legal Business Name | OHIO CITY BEAUTY STUDIO
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3159 W 25TH ST
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City | CLEVELAND
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State | OH
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Zip | 44109-1617
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Country | US
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Telephone | 216-738-9599
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Fax |
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Provider Business Mailing Address
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Address Line | 3159 W 25TH ST
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City | CLEVELAND
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State | OH
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Zip | 44109-1617
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Country | US
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Telephone | 216-738-9599
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Fax |
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Authorized Official
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Title or Position | MASTER PARAMEDICAL TATTOO ARTIST
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Name | ELIZABETH Y CRESPO
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Credential |
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Telephone | 216-457-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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