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NPI 1922985928

NPI 1922985928 : LAYAS BEAUTY ENTERPRISE LLC : MOODY, AL

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General NPI Number Information
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    NPI Number           |    1922985928
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAYAS BEAUTY ENTERPRISE LLC 
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Dates
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    Enumeration Date     |    08/20/2025
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    135 STEVENS COVE DR 
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    City                 |    MOODY
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    State                |    AL
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    Zip                  |    35004-2699
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    Country              |    US
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    Telephone            |    205-401-8046
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    Fax                  |    205-401-8046
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Provider Business Mailing Address
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    Address Line         |    135 STEVENS COVE DR 
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    City                 |    MOODY
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    State                |    AL
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    Zip                  |    35004-2699
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    Country              |    US
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    Telephone            |    205-401-8046
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    Fax                  |    205-401-8046
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ASHLEI  STEPHENS 
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    Credential           |    
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    Telephone            |    205-401-8046
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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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